Medical Billing and Coding Information Guide
Regarding medical billing, CPT codes are crucial in ensuring accurate and timely reimbursement. One such code is the 90837 CPT code, used to bill for individual outpatient psychotherapy services rendered for 60 minutes. However, many people often need clarification about the code’s specifics, including what it entails and when it should be used. What is the … Read more
The 99204 CPT code is commonly used for office or outpatient medical billing and coding visits. Healthcare providers in USA use it to bill for comprehensive E/M- Evaluation and Management services for new patients as well. In this article, we’ll dive into everything you need to know about the procedure code 99204, from its definition … Read more
Medical billing and coding is not a easy process. Understanding the (Current Procedure Terminology) CPT codes is essential for accurate and timely reimbursement and beware of denial. One of the most commonly used procedure codes in medical billing is cpt code 99213. This code is use for evaluation and management services (E/M Services) provided to … Read more
The modifier 26 is showing for Professional Component in medical billing and coding. The professional component is described as the services provided by a physician, encompassing tasks such as overseeing technicians, interpreting results, and generating a written report. In the procedure coding, it can be appended to indicate that the service offered was reading and … Read more
Wondering what this term means? Well, if you are someone who is not aware of medical billing, these few words might seem alien to most! But the PR Denial Code descriptions is exceptionally important for medical billing and the full form for PR stands for “Patient Responsibility”. PR 96 Denial code means non-covered charges. When … Read more
The Blue Cross Blue Shield Websites List state wise is updated as mentioned below table, Blue Cross Blue Shield Website List : BCBS Home Plan Payer Name Website URL Address Blue Cross Blue Shield of Alabama https://www.bcbsal.org/web/index.html Blue Cross Blue Shield of Michigan https://www.bcbsm.com/ Blue Cross Blue Shield of Illinois https://www.bcbsil.com/ Blue Cross Blue Shield … Read more
With the Affordable Care Act, many physician practices found themselves needing to outsource physician billing services in order to stay afloat. The law brought with it a lot of new regulations and complexities that these practices were not equipped to handle on their own. Now, however, there are new trends in outsourcing physician billing that … Read more
On 1st November, 2022, the CMS- Centers for Medicare And Medicaid Services issued a final rule that includes updates and changes in policy for Medicare payments under the PFS- Physician Fee Schedule, and other Medicare Part B issues, it will be effective on or after 1st January, 2023. Brief History of Physician Fee Schedule Medicare … Read more
In Blue Cross Blue Shield Medicaid plan, CMS – The Centers for Medicare & Medicaid Services and the Illinois State have contracted with BCBSIL or Blue Cross and Blue Shield of Illinois along with other Managed Care Organizations to implement Medicaid to all counties in Illinois. BCBSIL offers two plans: Blue Cross Community Health Plans … Read more
CMS- Centers for Medicare and Medicaid Services and NCHS- National Center for Health Statistics , these 2 departments of Government of the U.S. Department of Health and Human Services (DHHS) provides the guidelines for coding and reporting using the ICD codes which are known as International Classification of Diseases, 10th Update and Revision, Clinical Modification … Read more