October 2023

Diagnosis pointers, also known as diagnosis code pointers or diagnosis code indicators, are an essential component of medical billing. They are used to specify the primary diagnosis, secondary diagnosis, and additional diagnoses that are associated with a particular service or procedure. Understanding and

Incident to billing is a term used in the healthcare industry to describe a billing arrangement in which a physician or other medical professional bills Medicare for certain medical services that are performed by a non-physician professional, such as a physician's

Medical auditing is defined as the systematic evaluation of performance within a healthcare organization. One can audit almost every element of healthcare. Medical audit services play an important role in the healthcare organization’s compliance plan by setting up remedial actions to remove them.

Provider credentialing and enrollment are two important processes in the healthcare industry, but they are often confused with each other. If you confuse credentialing with enrollment, your provider reimbursement will suffer. The issue is that there is a lot of overlap between them. However,

RVU stands for Relative Value Units and is often regarded as the essential component of the US Medicare reimbursement formula. It is mainly created to calculate the value of services offered by the physicians. Moreover, it does not directly define physicians’ compensation

What is claims denial submission? How can you decrease it? Claims denial submission occurs when a claim is submitted by the healthcare provider for an award (to pay for services provided to a patient) and is denied by the payer. Conversely, a rejection occurs

The International Classification of Diseases, Tenth Revision (ICD-10) is a standardized system used to classify and report medical procedures and diagnoses. It is used by healthcare providers, hospitals, insurance companies, and governments around the world to collect and report data on diseases,

A National Provider Identifier (NPI Numbers) is a unique identification number issued by the Centers for Medicare and Medicaid Services (CMS) to healthcare providers in the United States. The NPI is used to identify healthcare providers in electronic transactions, such as when submitting claims for reimbursement

As the behavioral health audit industry attracts more significant authorities funding, it’s additionally getting newfound scrutiny from state and federal regulators. Enforcement movements in opposition to behavioral providers are on the rise, particularly for those groups participating in Medicare and Medicaid.Consequently, compliance making plans

The USA has strict laws regarding dealing with medicines on a commercial level for what they introduced the concept of national drug code. Section 510 of the U.S. Federal Food, Drugs, and Cosmetics requires submitting every new and updated medical