A denied claim has been received by the payor and has been adjudicated and payment determination has already been processed. A denied claim has been determined by the insurance company to be unpayable. Denied claims represent unpaid services and lost or delayed revenue to your practice. What is denial inRead More →
Charge entry is the process of assigning to the patient account an appropriate $ value as per the chosen medical codes and corresponding fee schedule. The reimbursements for the healthcare provider’s services are dependent on the charges entered for the medical services performed. What is Demo and charge entry? ChargeRead More →
Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. A medical coder is responsible for assigning the correct code to describe the type of service a patient will receive. What is medical coding and how does it work? Medical coders workRead More →
Group Chat. Many instant messaging services, such as WhatsApp, have a chat feature that allows users to send a message to multiple contacts within a group. This is known as “Group Chat” (often abbreviated to GC). Group Chat is typically used by family groups, groups of friends, or clubs. WhatRead More →
Durable medical equipment is any medical equipment used in the home to aid in a better quality of living. Does insurance pay for durable medical equipment? Medicare and Medicaid both offer DME coverage. Private health insurance plans are not required to cover DME, but many do, so you’ll need toRead More →
BDPC – Refers to twice a day after meals. ODPC- Refers to once in a day after meals. TDPC – Refers to thrice a day after meals. What is OD and BD in medical? The Full form of OD is ‘ Once in a day ‘. OD means the prescribedRead More →
An Accounts Receivable Analyst provides accounts receivable support through monitoring all aspects of the collection of outstanding debts owed to a company. They check missing and unresolved payment issues, monitor overdue accounts, and prepare statements for managers. What is the role of AR analyst in medical billing? Ensure the ARRead More →
Insurance Term – Coordination of Benefits (COB) This is a provision in the contract that applies when a person is covered under more than one health insurance plan. It requires that payment of benefits be coordinated by all health insurance plans to eliminate over-insurance or duplication of benefits. What areRead More →
Medical terms in obstetrics and gynaecology abortion, amniocentesis, anaemia, anaesthesia, antenatal, bacteria organisms, bacterial vaginosis, bicornuate uterus (womb), biopsy. Are OB-GYN and gynecologist the same? Many people think OB/GYN and gynecology are the same thing. This is not true! An OB/GYN encompasses two specialties – obstetrics and gynecology – whileRead More →
Medical imaging refers to several different technologies that are used to view the human body in order to diagnose, monitor, or treat medical conditions. What is used in medical imaging? X-ray technology is one of the oldest and most common forms of medical imaging used by doctors. X-rays are aRead More →