Medical Billing and Coding Information Guide
Medicare insurance is the biggest federal insurance of the United States of America. Medicare insurance policy id identifies by its suffix. Medicare suffix should be alpha or alphanumeric. Medicare Suffix List 2025 Medicare Suffix Male/Female Description A M or F Primary wage earner B F Aged wife, 1st claimant B1 M Husband, 1st claimant B2 … Read more
If you are traveling to the USA as no-us citizen, it is important to have knowledge about Health Insurance for Foreigners in the USA, because any disease and unwanted things happen to anyone at any time, we can control some things but not all so precaution is better than at any case. Making provisions to … Read more
In medical billing, pre authorization is a pre-approval before providing medical service. An insurance plan requirement in which the service provider must notify the insurance company in advance about certain medical procedures or services in order for coverage to be considered. “Authorization is getting approval from the insurer before a procedure is performed to ensure … Read more
25 Modifier Definition: Significant, separately, identified E&M service by the same physician on the same day of the procedure or other service. Modifier 25 may be required to indicate that on the day procedure or service identified by a CPT code was performed, the patient’s condition required a separately E&M service above and beyond the … Read more
Health Maintenance Organization (HMO Plans) is only one of many types of managed care arrangements. In this, more emphasis is placed on prevention and quality of care. In the HMO Plan in health insurance, there is an opportunity to control healthcare costs of managed care. When someone joins an HMO Plan in health insurance, they … Read more
The American healthcare system is very advanced and professional in comparison to the rest of the world. They are always trying to find out better ways to protect their citizens with a better plan of health insurance and keep away health insurance companies from fraud and abuse. In the following article, we will discuss the … Read more
When it comes to medical billing and coding, there are numerous codes that healthcare providers use to report their services and get reimbursed. One of the most commonly used codes is the 99203 CPT code. This article will provide an in-depth analysis of this code, its definition, usage, and requirements. What is the 99203 CPT … Read more
As per the American Medical Association, the definition of COBRA is, “COBRA- Consolidated Omnibus Budget Reconciliation Act (1985), it is a Federal law established in 1985 and it allows a worker to continue his employer-sponsored health insurance for up to 18 months if anyone loses his job due to any cause.” The Consolidated Omnibus Budget … Read more
The Medical billing process is a payment practice between patients, insurance, and providers (Doctors) in the United States health care sector. Medical billing is also known as managed care practice in the United States of America’s health system which is involved with lots of Health Care activities in it. Some of such activities include submission … Read more
EOB Codes or Explanation of Benefit Codes are present on the last page of remittance advice, these EOB codes are in form of numbers and every number has a specific meaning. We have created a list of EOB reason codes for the help of people who are working on denials, AR-follow-up, medical coding, etc. The … Read more