Medical Billing and Coding Information Guide
Due to busy lifestyle and wrong eating habits, new health problems are taking birth all over the world. Due to our carelessness in eating and drinking, these diseases are increasing rapidly. Obesity increases due to such carelessness, obesity is that condition of the body when excessive fat accumulates on our body. Obesity leads us 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
The alpha prefix list 2026 consists of three-letter codes used by Blue Cross Blue Shield (BCBS) to classify different plans and networks. The prefix KAA-KZZ range refers to alpha prefixes within the Blue Cross system. Prefix KAA-KZZ updated as below, Alpha prefix KAA-KZZ is updated as per recent update from authorized website and resources. Related … 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
As per Biden Harris Administration launches 10th year open enrollment for affordable Health Insurance for customers eligible for coverage at $10 or less. As per the announcement from1st November ,2022, consumers are able to sign up for high-quality, affordable health insurance on HealthCare.gov. The Marketplace Enrollment for Affordable Health Insurance Open from 1st November 2022, … 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 – The Centers for Medicare & Medicaid Services (CMS) issued a quarterly update to the CLFS- Clinical Laboratory Fee Schedule in August. 11 2022. This update includes 23 new Procedure codes (CPT) for PLA- Proprietary Laboratory Analysis Tests. All these code changes that are effective 1 October 2022. The new types of service 5 … Read more