Medicare Insurance Complete Guide 2021

medicare insurance guide

MEDICARE: Medicare Insurance is administered by the Center for Medicare and Medicaid Services (CMS) (Formerly known as health care Financing Administration-HCFA) of the US department of health and human services. Medicare is a health program for: People 65 years of age or older. Some people with disababilities under age of 65. People with end stage … Read more

What is Pre Authorization in Medical Billing

pre authorization retro authorization

What is Pre 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 … Read more

What is HMO Plan in Health Insurance?

HMO plans in medical billing

Health Maintenance Organization or HMO Plan 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 … Read more

Empire BCBS Phone Number and Claim Address (2021)

BCBS phone number and contacts, websites

BCBS Insurance ( Blue Cross Blue Shield) Empire Blue Cross Blue Shield plans ( BCBS) are perhaps the best known medical insurance programs in the United States. They were started as prepaid medical plans selling contracts to individuals or groups for coverage of specified medical expenses as long as the premiums were paid. Blue cross … Read more

List of Modifiers in Medical Billing (2021)

list of modifiers in medical billing

List of Modifiers in Medical Billing is a very important document and everyone who is working in the medical billing process should have the basic knowledge of these CPT Modifiers. We also called it CPT modifiers here CPT stands for Current Procedural Terminology. Modifier definition in medical billing CPT Modifiers are codes that are used … Read more

An Overview of American Healthcare System

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 Denials Management in Medical Billing? (Complete Guide)

medicare insurance guide

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 denial appropriately and try their best to re-process the claim and receive respective payment. Claims that do not get … Read more

What is COBRA Insurance Definition in Medical Billing?

cobra guidelines in medical billing

COBRA Insurance Definition 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 … Read more

ICD-10 Codes in Medical Billing (2021)

ICD10 codes in medical coding and billing

What are ICD and CPT codes in medical billing? ICD-10 codes are the 10th edition of the International Classification of Diseases. ICD-10 codes start using from 1 October 2015.If you are looking for a challenging career in the field of medical billing and coding then it might be a little bit confusing for you regarding … Read more