Difference Between Provider Enrollment and Credentialing Services

provider enrollment and credentialing services

The Centers for Medicare and Medicaid Services (CMS) has established two different ways for healthcare providers to become recognized and participate in Medicare and Medicaid programs that are provider enrollment and credentialing services. The main difference between provider enrollment and credentialing services is that provider enrollment is the process of applying to become a Medicare … Read more

A Complete Guide for Credentialing with Insurance Companies

Credentialing with Insurance Companies

If you have just started your medical practice, then it is no doubt that you must be looking for ways to apply for credentialing with insurance companies and get reimbursed timely for the services provided. These services can fall into a range of departments from clinical therapies to surgical procedures. The term for medical credentialing … Read more

Does medical cover chiropractors? Health insurance coverage for chiropractic services

Does medical cover chiropractor

Americans have been taking chiropractic services and are affected by neck and spine injuries for the maximum of their life span. According to a Gallup poll survey in 2015, 65% of Americans made appointments to see chiropractors. With the ever-increasing need for chiropractic services, patients with insurance coverage often want to know from their insurer … Read more

What Are Healthcare Compliance Issues? The Greatest Threat to Healthcare Compliance

healthcare compliance issues

Compliance with Healthcare guidelines is an essential aspect of the healthcare industry either a practice or hospital facility to eliminate the associated risks, for forgone revenues, to prosper in the right direction and to generate the maximum revenue for the provision of healthcare services. In addition, healthcare organizations need to adhere to the regulations legislated … Read more

Rheumatologists: What do they do and what does a Rheumatology Doctor Treat?

what does a rheumatology doctor treat

What does a rheumatology doctor treat? Rheumatologists are doctors who treat conditions that affect the joints, muscles, and bones. They also treat conditions that affect the immune system, such as rheumatoid arthritis and lupus. Rheumatologists use a variety of diagnostic tests to assess a patient’s condition. These tests can help them determine the best course … Read more

Excisional Biopsy CPT Code for Skin Lesion

CPT Code for Skin Lesion

Biopsies are known to obtain a skin sample from any part of your body that needs examination organically for treatment and diagnostic purposes. The removal of the skin tissues from the cell of the body is often referred to as a skin biopsy. The extracted sample was further evaluated to confirm medical diseases such as … Read more

The CPT Code for Suprascapular Nerve Block – Treatment and Codes Involved

CPT code for Suprascapular nerve block

The Suprascapular nerve block is a safe and effective way to treat pain in the shoulder and arm. It is a minimally invasive procedure that can be performed in an outpatient setting. The procedure is performed under fluoroscopic guidance to ensure accuracy. The CPT code for suprascapular nerve block is 64450. This code is used … Read more

Identifying Combination Coding in light of ICD-10-CM Guidelines

combination coding

No wonder ICD-10 and CPT codes have been discussed over all these years as they were the main reason behind every reimbursement and transaction made at the payers’ and providers’ end. These codes are being updated with some new guidelines, declaring some new codes, rescheduled and redefining previous codes, introducing some combination coding for specific … Read more

What is a Demographic Claim? Importance of Patient’s Demographic Claim in Medical Billing

What is a demographic claim

What is a demographic claim? A demographic claim is an important part of the medical billing process and is used to help providers understand the needs of their patients. A demographics claim includes information about the patient’s age, gender, race, and other characteristics. This information is used to help providers understand the needs of their … Read more