CPT Codes for Physical Therapy Evaluation: A Better Understanding of Billing and Coding Guidelines

CPT codes for physical therapy evaluation A Better Understanding of Billing and Coding Guidelines

For the past few years, the healthcare industry has been under continuous evaluation. Not just the regulations amended for insurance providers and healthcare providers but patients as well. People visit doctors for their tailored needs, however, visiting a physical therapist needs serious bodily pain, injury, or sprain. To reimburse the treatment, practitioners need to use …

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72 Hour Rule Implementation in Medical Billing

72 Hour Rule in Medicare Billing

To combat fraud related to the False Claims Act, “the Centers for Medicare” and “Medicaid Services (CMS)” implemented the three-day rule, also known as the “72-hour rule”. This rule requires that all outpatient diagnostic or some other medical services delivered within 72 hours of hospital admission be bundled and billed collectively rather than individually. This …

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What Is ERA in Medical Billing and How Beneficial It Is to Integrate ERA?

What is ERA in medical billing and how beneficial it is to integrate ERA

ERA stands for Electronic Remittance Advice and is used by means of electronic communication where the need for EOB Explanation of Benefits becomes negligible. But what is ERA in medical billing? Medical healthcare providers always wish to have claim acceptance in the first go. And it becomes essential for the providers to reduce/eliminate the recurring …

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Federal Health Insurance Guide: Which Part of Medicare Covers Inpatient Hospital Charges?

Federal Health Insurance Guide Which part of Medicare covers inpatient hospital charges

Hospital stays are expensive. Without medical insurance, it can cost you thousands of dollars. While for some, it may not be the biggest concern, those living hand-to-mouth will be heavily affected by this. For such people, the Federal government offers the Medicare program. It is a health insurance plan designed for people 65 or older …

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What Does Sequestration Mean in Medicare Medical Claims?

Frequently asked questions about what does sequestration mean

The Medicare budget Control Act 2011 says that there will be a significant reduction in the reimbursements of the cost of services claimed under Medicare. This federal reduction is specifically called sequestration in medical terms. Medicare claim reduction regulation applies to the claims from April 2013, which is 2% of the total amount claimed, which …

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What Is a Clearinghouse in Medical Billing? 6 Benefits of Using Clearinghouse

What is a clearinghouse in medical billing 6 benefits of using clearinghouse

A clearinghouse in medical billing reserves a special place in terms of clearing and forwarding reimbursement claims for practices and hospitals. As the process of reimbursing claims and providing financial security to healthcare providers are essential steps in medical billing, clearinghouses play a key role in the healthcare billing process which is undeniable. What is …

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COB in Medical Billing: Rules for Insurance of Patients in Coordination of Benefits Explained

COB in medical billing Rules for Insurance of Patients in Coordination of Benefits Explained

The coordination of benefits is defined by the Centers of Medicare and Medicaid Services as the process by which the patients are allowed to choose who is responsible for their financial medical liability or insurance. This means that through COB, CMS permits patients to have more than one payer or insurance provider. However, through COB, …

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Chiropractic Billing for Dummies: What Chiropractic Billers Need to Know?

Chiropractic billing for dummies What chiropractic billers need to know

Like any other practice, chiropractors also need to adhere to the important set of codes called CPT codes. AMA maintains chiropractic CPT codes – American Medical Association and is regularized by the CMS across the chiropractic providers. CPT codes are comprised of five alphanumeric typo scripts, that are used to evaluate, describe, and diagnose all …

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5 Best Practices for Bloodborne Pathogens Training

5 Best Practices for Bloodborne Pathogens Training

‍Whether you’re an OSHA-approved trainer or a front-line supervisor, creating an effective bloodborne pathogens training program can feel like a Herculean task. You must also do it quickly — and with little to no budget. But don’t panic; you can create an effective training program with the right approach. Even if your company is small …

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