Giving birth to a baby is one of the most exciting and overwhelming moments in a woman’s life. However, for healthcare providers, ensuring that their patients receive the best care during their pregnancy and childbirth can be a complex and challenging process, especially when it comes to billing and coding for their services. In this…
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Do you have any idea about Local Coverage Determination (LCD) in medical billing? If not, then you’re not alone. In medical billing, Local Coverage Determination (LCD) is an important factor. LCD is a policy issued by Medicare Administrative Contractors (MACs) to determine the medical necessity and coverage of a particular medical service or item. This…
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Business papers are exchanged between businesses using Electronic Data Interchange (EDI) computer communication technology. Electronic medical claims, payments, and other transactions pertaining to healthcare are transmitted through EDI in the healthcare industry. We will explain in detail what EDI is, the many kinds of EDI, and how it functions in the healthcare sector in this…
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Medical billing is a complex process that involves various players including healthcare providers, insurance companies, and patients. Among these players, one crucial entity that plays a critical role in the medical billing process is the guarantor. A guarantor is a person or group who has to pay for a patient’s medical bills. In this article,…
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A medical billing process can be difficult to understand especially with the numerous codes that are used. These codes are used to communicate important information to insurance companies, healthcare providers, and patients. One such code is the Claim Adjustment Reason Code (CARC). This article will examine CARC in depth including what it does, why it…
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The healthcare system remains robust and workable only if the required payments are made timely. If the practitioners get short of money, they are not able to offer quality services to the patients. This is why the Medicare system must ensure all the members of the healthcare system are provided with the required services timely.…
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The relative value units are of prime importance in the World of medical billing. They are concerned with the value that a medical practitioner offers to patients or clients. Also referred to as factor compensation, RVUs are the indicators that define the actual worth of the medical treatment offered. In simple words, the Relative Value…
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ERA, also known as electronic remittance advice, makes medical insurance billings easier, more efficient, and error-free. As the electronic data interchange, it puts out all the information related to medical billing, making the associated activities easier for all the concerned parties. The electronic remittance advice entails everything from the payment claims of the provider, explanations…
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