How to explain out-of-network benefits to patients? Health care providers understand the value of good communication, particularly when health insurance coverage and medical bills are involved. What are some of the most confusing conversations we have with patients? I think for most of them, if we unpack this a bit, it is that if I […]
Healthcare management is one of the vital aspect of healthcare industry. “The clinicians are delivering the care, and the revenue cycle has to make sure that care is billed appropriately. One of the numerous words you may hear when it comes to providers and billers is the Allowed Amount. This rate is the amount that […]
Understanding Medicaid & Healthcare is essential for both patients and providers in today’s U.S. medical system. Medicaid helps millions access care, but its billing rules can confuse even experienced professionals. From verifying Medicaid eligibility check to handling the Medicaid billing process, every step requires careful attention. Providers must follow specific formats for Medicaid claim submission […]
If you’ve been in healthcare billing for more than a minute, you know CMS rarely sits still. As we step into 2025, the Centers for Medicare & Medicaid Services (CMS) has introduced a new wave of updates, fresh CPT code adjustments, rule modifications, and reimbursement shifts that could directly affect your day-to-day billing operations. And […]
