Medical Billing and Coding Information Guide
Revenue cycle management for any business is a process that can be complex and time-consuming. And if not managed properly, it can lead to a number of billing challenges down the line. From inaccurate invoicing to payment delays, there are a number of factors that can impact your bottom line if you’re not careful. But … Read more
UB04 Occurrence Codes are located in boxes 31 to 34 providing specific information of patient like patient condition, healthcare issues, etc. Occurrence codes are play important role in billing and payment of claims. List of Occurrence Codes for UB04 (UB04 Field Locater- 31 – 34) Codes Description 01 Accident or Medical Payment Coverage – Date … Read more
Anthem Blue Cross Blue Shield Kentucky Prefixes List Product/Group Info Provider Inquiry Phone No. Pre-Certification Other Information YRL YRP YRN YRJ XTA YRG YRMYRT YRB YRY YRR VNG Anthem Blue Access (PPO) Anthem Blue Preferred (HMO) Anthem TraditionalAnthem Medicare Supplement / Select 888-650-4133 800-282-1016888-650-4133 800-282-1016888-650-4133 800-282-1016866-848-1057 877-814-4803 OON Referrals – 800-568-0075 XTH JRG JRI JWF … Read more
CDT codes (Current Dental Terminology codes) are used by dental professionals to document and report dental procedures and services. These dental codes are published and maintained by the American Dental Association (ADA) and are used for billing, insurance claims, and ensuring standardized communication in the dental field. CDT Codes List 2025 Dental Diagnostic Codes [D0100-D0999] … Read more
There are 36 ICD-10-CM codes deleted in year 2025 and this is effective from 1st October, 2024. This Deleted ICD-10-CM codes are listed below Deleted ICD-10-CM Codes List ICD-10-CM Code Description C83.39 Diffuse large B-cell lymphoma, extranodal and solid organ sites C86.0 Extranodal NK/T-cell lymphoma, nasal type C86.1 Hepatosplenic T-cell lymphoma C86.2 Enteropathy-type (intestinal) T-cell … Read more
Did you just receive the modifier 51 code and look to find out the meaning and get details about it? Well, here you can get all the details in brief about the 51 code. What is modifier 51? Modifier 51 can be defined as a is used frequently when the provider performs surgical services. According … Read more
The knee is a painful area for injury, particularly for athletes. There are four main ligaments that connect the knee, including the anteriorcruciate ligament (ACL) as well as the posterior cruciate ligament (PCL) and the medial collateral ligament (MCL) and the collateral ligament (LCL). The meniscus also is frequently damaged, which causes knee pain. Other … Read more
Denials management is the most important work in medical billing because if any claim is not paid and denied from insurance companies due to any reason, it is medical billing company’s responsibility to handle the received medical billing denial codes appropriately and try their best to re-process the claim and receive respective payment. Claims that … Read more
The Health Insurance Claim form 1500 or HCFA 1500 claim form, also known as CMS 1500 claim form as well. The CMS 1500 Claim Form is the uniform or standard claim form used by a provider or supplier to bill Medicare and DMERCs (durable medical equipment regional carriers) when a provider qualifies for a waiver … Read more
The Diagnosis Related Groups (DRGs) have been developed as the foundation of the Medicare hospital reimbursement system. These DRGs ( Diagnosis Related Groups) are a patient classification system that offers an approach to linking the types of patients that the hospital treats to the cost that the hospital incurs. The process of designing and developing the DRGs began in … Read more