How to Detect and Prevent Healthcare Fraud img

How to Detect and Prevent Healthcare Fraud

Saturday, October 29, 2022, Healthcare, medical billing

Health Care Providers should carry out extensive compliance programs and improve medical billing processes to identify and prevent healthcare fraud. The health care providers might encounter an inquiry that could fetch them a blemish for their career. It derogates their reputation as well as income. HIPAA defines healthcare fraud as willingly and knowingly implementing or […]

How Medical Billing Differs from Medical Coding img

How Medical Billing Differs from Medical Coding

Saturday, October 22, 2022, Healthcare, medical billing

The Medical Billing and the coding require two different sets of expertise. So, normally two different individuals perform these two different functions.  The Medical billing experts can do both the coding and billing practices. Medical coding is the process of translating medical procedures and services into a regular code of standardization. The two sets of […]

Medical Billing Service for Health Care Cost img

Medical Billing Service for Health Care Cost

Saturday, August 13, 2022, Healthcare, medical billing

The health care costs are getting so higher now that keep people prone to skip physician visits. It’s not fear of doctors but the medical billing phobia that follows. The out-of-network fees and the higher deductibles are some of the costs that burn the consumers’ pockets. U.S. health care expenses keep growing and hit more […]

hospital_medical_billing_image

5 Things to Remember About Hospital Medical Billing

Hospital medical billing involves medical billing and coding that support the extended healthcare industry. The medical billers and coders translate medical records into consistent codes that healthcare personnel use while billing for their patients and sending claims to their insurance companies. Hospital medical billing is not an easy task, rather it takes several processes. In […]

faulty_RCM

How Faulty RCM Leads to Losing Revenues

When it comes to the art of healing, a lot of documentation is needed for each patient’s medical records. The same details are used to support the bills that are sent to insurance providers. Like all medical practitioners, it is very much important to collect all the details of the medical practice. Currently, health care […]

cancer reimbursement image

Cancer Medical Reimbursement Plan Working

Most health plans hardly pay the full amount of the claim expenses. There are doctor fees, lab charges, x-rays, chemotherapy, radiation, prescription drugs, and other hospital costs. Sometimes, they exceed the basic allowances of insurance. Almost all primary health insurance plans have both limits and deductibles. The Cancer Medical Reimbursement Plan (CMRP) can step in […]

Healthcare Reimbursement Basics img

Healthcare Reimbursement Basics

Saturday, March 19, 2022, Healthcare, medical billing

Healthcare reimbursement plans are sometimes named as healthcare reimbursement arrangements. It is different from traditional health insurance plans that revolved round employer-sponsor.  Rather than selecting and administering their employees’ health insurance plans themselves, employers fund health reimbursement plans to a specific amount. Employees are reimbursed for their authentic medical expenses from this fund. Healthcare reimbursement […]

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