Medical Billing and Coding Information Guide
Medicaid Eligibility Income Chart 2024 updated in January 2024 and Income is not the only eligibility factor for Medicaid long-term care, there is also an asset limit and level of care requirement. Additionally, there are state-specific details. For Medicaid eligibility there are some regulations and criteria which is required to fulfill mentioned as below Income … Read more
POS 99 (Place of Service 99) Among those 99 two-digit referral codes here are the low-cut to the matchless 99th POS code. Like all other codes, the Place of Service 99 code forms an integral functional part whose noteworthiness is of great value in governing the acceptability of direct billing of ☑️Please take note of … Read more
Wondering what a CO 23 denial code or denial code OA23 means or how can it affect you? Or what is the real CO 23 denial code description? So many questions might trigger your mind if you have come to know about it for the first time. Well to let you know, here are some … Read more
We have already discussed with great detail that the denial code stands as a piece of information to the patient of the claimant party stating why the claim was rejected. Today we discussed PR 204 denial code Description in this article. Denial Code PR 204- “This service, equipment and-or drug is not covered under the … Read more
Lipids are fat molecules in blood and lipid panel is a blood test that measures the amount of lipid molecules in the blood. In this test, the panel includes 4 different cholesterol and triglycerides measurements of your blood. If you work in healthcare industry or medical billing and coding or have ever had a blood … Read more
Revenue codes in medical billing are 4 digit numeric ids that are used in hospital bills to notify insurance companies that what type of services received by patients. These are 4 digit number always starting with “0 (Zero)”. We have updated the Revenue Code List 2025 for Medical Billing as per the latest information. The … 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
Workers’ Compensation is one of most widely accessed entitlement programs in United States of America. Workers compensation insurance (WC Insurance) is a program that cover financially to employees he or she injured or become ill during the performance of their jobs on work place. In USA every Employers have to to provide this benefits to … 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