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Fee For Service In Medicaid: Everything You Need To Know

WebThe Fee for service, also known as FFS, is a prevalent payment method for healthcare providers in the US. As Medicaid is a joint federal and state program, states may offer …

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What Are Claims & Encounters In Healthcare

WebThe encounters encapsulate data related to each enrollee, such as beneficiary ID, claim type, organization provider number, dates of service, claim processing date, claim control …

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What are revenue codes and how do they help in medical billing

WebRevenue codes are accompanied by procedure codes or CPT codes to indicate the kind of procedure or treatment a patient has undergone. Out of the hundreds of revenue codes, …

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What is the Maximum Allowable Charge in Medical Billing

WebIn simple words, the maximum allowable charge refers to the maximum amount for reimbursement of a particular medical procedure as fixed or allowed by the health …

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What do Dual Health Plans offer

WebDual health plan goes beyond Medicaid and Original Medicare, giving extra benefits and features like dental coverage- dental x-rays, fluoride treatments. Other features would be …

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Understanding COBRA in Medical Billing: Eligibility Criterias

WebCOBRA is a complicated insurance plan with many aspects and guidelines involved in its design. Therefore one must understand its benefits and eligibility criterias to avoid any …

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What is Assignment of Benefits in Medical Billing

WebThe term assignment of benefits (AOB) may be referred to as an agreement that transfers the health insurance claims benefits of the policy from the patient to the health care …

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Role and responsibilities of clearinghouse in Medical Billing

WebA clearinghouse is responsible for checking, scrubbing the medical claims for errors, and verifying if the claim is rightly processed by the payer. Once the claims are considered …

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What Is The Biggest Advantage of An IPA To Patients

WebWhen it comes to taking care of your health, there's a secret weapon that's making a big difference – Independent Practice Associations, or IPAs. We know it sounds …

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DO DOCTORS PREFER HMO OR PPO

WebIf yes, you might be looking for health coverage that meets your family’s health requirements and allows you to consult with doctors and specialists of your preference …

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What is a medical billing cycle

WebMedical billing has a cycle of steps that’s completed by billing specialists to ensure that providers are reimbursed for their services. Contingent on the conditions, it can require …

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What is a Clean Claim in Medical Billing

WebA clean claim may refer to as a valid claim due to its role in the hassle-free process of making timely payment and enhancing the revenue cycle of the hospital. To file a clean …

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What is Accounts Receivable in Medical Billing

WebDefinition of Accounts Receivable. In medical billing, the term accounts receivable (A/R) refers to the money that you are yet to receive from your client (s) for the services you …

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WHAT DOES CMS STAND FOR IN MEDICAL TERMS

WebUnderstanding the Centers for Medicare & Medicaid (CMS) working. CMS, previously known as the Health Care Financing Administration (HCFA), was a part of the Department of …

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What does CMS Stand for in Medical Billing

WebThe term CMS stands Centers for Medicare & Medicaid Services—an agency established to oversee various numbers of medical care programs within the U.S. The agency falls …

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