Apr 22, 2008 | Medical billing basics
What is In-network and Out of networkMany new and growing practices seek out in-network insurance carrier affiliations to help build their patient base, while mature practices might choose in-network participation for security and continuity. On the other hand,...
Apr 22, 2008 | Medical billing basics
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...
Apr 22, 2008 | Medical billing basics
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...
Apr 22, 2008 | Medical billing basics
Increasing payment flowReceiving maximum reimbursement with quick A/R turnaround in any healthcare practice requires careful attention to obtaining, documenting and communicating information. From the time a patient schedules a visit until the charge is closed out,...
Apr 21, 2008 | Medical billing basics
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...
Apr 21, 2008 | Medical billing basics
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...
Apr 19, 2008 | Medical billing basics
Intelligent Business is a dynamic and flexible new course with anintegrated range of components to develop students’ knowledge of thebusiness world and the skills to work within it.* LearnBusiness – The topic-based course book provides an...
Apr 14, 2008 | Medical billing basics
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...
Apr 11, 2008 | Medical billing basics
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...
Apr 11, 2008 | Medical billing basics
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...
