What is Pre Authorization in Medical Billing?

pre authorization retro authorization

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

What is HMO Plan in Health Insurance?

HMO plans in medical billing

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

An Overview of American Healthcare System (2024)

an overview of USA healthcare system

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

What is COBRA Insurance Definition in Medical Billing? (2023)

cobra guidelines in medical billing

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

What is Medical Billing and Coding?

medical billing and coding jobs

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

How Pathology Billing Services Can Improve Your Practice’s RCM?

Revenue cycle management boosts provider revenue. RCM helps healthcare providers stay open and treat more patients. Revenue cycle management benefits providers and others. Revenue allows providers to spend more time and money on patient care. By verifying patient information and coding, RCM reduces insurance claim denials and boosts revenue. Providers save time and money by … Read more

NPI Lookup Registry: The Ultimate Guide for Healthcare Providers

npi lookup registry

Are you a healthcare provider looking for a way to streamline your practice? Do you need a quick and easy way to verify the credentials of other providers? Look no further than the National Provider Identifier (NPI) Lookup Registry! In this guide, we’ll explore what the NPI Lookup Registry is, how to use it, and … Read more

What is a Deductible in Medical Billing (2024)

what is a deductible in Medical billing?

Medical billing can be complicated, and understanding the various terms and processes can be daunting. One of the most important terms in medical billing is “deductible,” which can determine how much you pay out of pocket for healthcare services. In this article, we’ll explore a deductible, how it works, and what you need to know … Read more

Obama Care Health insurance (2024)

short essay on Obama Care

An essay on Obama Care is a brief definition of healthcare bill issued in the time period of US president Mr. Barack Obama in 2010 is known as Obama Care-Patient Protection and Affordable Care Act. Obama Care Health insurance bill is issued for betterment or reforms of the United States Healthcare System. The Obama Care-Patient … Read more

Why Outsource Physician Billing Services in 2024

Outsource physician billing service benefits

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