Prior Authorization
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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
Billing for Worker’s Compensation
Basics of Worker’s Compensation Worker’s compensation, commonly known as worker’s comp, is a type of insurance that covers the treatment…
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Medical Billing Services
What is Medicare Sequestration?
Providers seeing a 2 percent payment decrease on their Remittance Advice (RA) is due to a mandatory sequestration payment reduction.…
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Medical Billing Services
Handling Timely Filing (CO 29) Denials
Insurance will deny the claim with denial code CO 29 – the time limit for filing has expired, whenever the…
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Medical Billing Services
Why CAQH is Required for Provider Credentialing?
Credentialing is a systematic approach to the collection and verification of a health care provider’s professional qualifications. The qualifications that…
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Claims Denials
Handling Denial B9 with Modifiers GV and GW
You might have received a denial with claim adjustment reason code (CARC) CO B9. Possible reasons for this denial message…
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Medical Billing Services
Medical Nutrition Therapy (MNT) CPT Codes
Medical nutrition therapy (MNT) is a key component of diabetes education and management. MNT is defined as a ‘nutrition-based treatment…
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