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Medical Billing Blog

Professional vs Institutional Billing? Find The Difference

The Differences between Professional and Institutional Billing Your doctor may have told you that you need to go in for a follow-up appointment, but when your insurance company calls to set up the appointment, they might not mention it. This is because doctors are often reimbursed by institutions rather than directly from patients. Institutional billing […]
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96372 CPT Code Reimbursement

What can be the possible reason for the rejection of your charge for a specific CPT injection code? Considering this scenario: One charge for a specific CPT injection code was denied or rejected. That is a relatively regular event. Wouldn’t it be disappointing, especially if one didn’t know why it was turned down? So, what’s […]
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What is Medical Billing and Coding?

What is Medical Billing and Medical Coding? Medical billing and coding are submitting and tracking medical claims with insurance companies. It is a critical process in the healthcare industry because it helps to ensure that patients receive the correct reimbursement for their healthcare services.  Medical billing and coding professionals ensure that all claims are accurately […]
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Understanding Quality Measures for MIPS, MACRA, and PCMH

MIPS: Merit-based Incentive payment system MACRA: Medicare Access and CHIP Reauthorization Act 2015 PCMH: Patient centered medical home There are many different ways to measure health care quality, with MIPS, MACRA, and PCMH being three of the most common. Understanding how each work is crucial for providers. MIPS measures the quality of care by using […]
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What is Revenue Cycle Management, and why does it matter?

The term “revenue cycle management” describes several different activities. Still, all of these activities have one common goal: to improve the medical practices performance. RCM can help medical practices improve their collections rates, reduce patient financial liability and increase the accuracy of their billing. What is Revenue Cycle Management? Revenue Cycle Management (RCM) is a […]
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