Medical Billers and Coders
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Medical Billing Services
Defining ‘Reasonable and Necessary’ Coverage for Medicare
Medicare won’t provide coverage for items and services that are not reasonable and necessary for the diagnosis or treatment of…
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Medical Billing Services
Clinical Documentation: Great Way to Improve Coding
Medical documentation and coding are bricks and mortar of the medical billing process. In the past 25-30 years, we seen…
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Medical Billing Services
Streamlining and Automating Prior Authorization
CMS’s Proposed Rule on Automating Prior Authorization On 10th December 2020, The Centers for Medicare & Medicaid Services (CMS) proposed…
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Medical Billing Services
What is the Medicare Crossover Claim?
A crossover claim is a claim for a recipient who is eligible for both Medicare and Medicaid, where Medicare pays…
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Medical Billing Services
Outpatient E/M Revisions for 2021
The American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS) has announced guideline and code descriptor changes…
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Wound Care Billing Services
Coding for Open Fracture Debridement
Basics of Open Fracture Debridement Debridement is used to remove foreign material or damaged, dead, or contaminated tissue from a…
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Medical Billing Services
How to Credential Your Practice with Vision Plan?
You just graduated from a school of optometry and decided your practice location. If you plan on examining patients who…
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