Everything About NPI

We used to be different numbers but everything changed by one word. National provider identifier The National Provider Identifier (NPI) was developed out of the Administrative Simplification in the Health Care Industry provisions under HIPAA. Finalized in 2002, the...

Medicare as Secondary Payer

MSPSimply because a patient has Medicare should not be reason to automatically assume medical billing claims should be sent directly to Medicare. There are several instances where Medicare will, in fact, function as a secondary payer for medical claim billing. Filing...

Tips to Prevent Billing Problems

Always prevention is better than cure.Billing and insurance can be confusing, so here are some tips to prevent billing problems:Make sure your bill is actually a bill. If carefully checked, what appears to be a bill may actually say: $0 balance due; your commercial...

AR Caller

Title – AR callerExperience: 0 – 2 YearsLocation: ChennaiCompensation: Fixed shift, fixed off, Pick up drop, Incentives, annual BonusEducation: UG – Any Graduate – Any SpecializationPG – Any PG Course – Any SpecializationJob...

Insurance Definitions.

Allowed Amount The amount of the billed charge the insurance company deems is payable by the plan.Ambulatory Medical care on an out-patient basis, such as hospital outpatient clinics and ER Departments, physician’s office and home health care are...

Capitation

Medical billing concept – Capitation:A physician gets paid a specified dollar amount, for a given time period, to take care of the medical needs of a specified group of people.Often used in Health Maintenance Organization (HMO) Insurance Plans and became...

Medicare and Supplemental Insurance Plans

Who are eligible for MedicareMedicare is a federal program that provides insurance for people 65 and older and for people under 65 who who have permanent kidney failure or who have certain disabilities. The Health care Finance Administration (HCFA) administers the...