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How Crucial is Pre-Authorization in a Medical Billing Service Company?

For a medical billing Service Company, pre-authorization is an important process to deal with. There are many terms used for pre-authorization such as, “prior authorization”, “pre-certification”, “prior approval” etc. Though these terms slightly vary, the process they refer to is all the same. It’s a process where healthcare professionals are supposed to request confirmation that […]
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5 Components of Acute Mid Revenue Cycle in Medical Billing

We must accept the fact that revenue cycle in medical billing has its own complexities and they are increasing day by day. As healthcare professionals or medical billing companies try to tackle the old ones, new problems arise to their place. Though ever changing regulations are imposed, adopting value based reimbursement models turn out to […]
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How Crucial is Hospital Billing Software in Hospital Management System?

Hospital Billing Software act as a lifeline for healthcare professionals or medical practitioners. In the present scenario where the workload is affecting patient responsibility, hospital billing software can possibly speed up the tasks of practitioners. But the actual point is, how do you choose the right one? The software that a medical practitioner chooses must […]
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FAQs on CMS 1500 & UB-04 Forms in Medical Billing

For healthcare professionals and medical billing companies, having a complete understanding on CMS 1500 & UB-04 forms, are extremely necessary to make their billing practice successful. These forms are designed and maintained by National Uniform Claim Committee (NUCC).  CMS 1500 & UB-04 are used especially for revenue payments, and they vary in terms of usage. Before […]
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Physician Billing vs Hospital Billing

Well, to employ a billing strategy, isn’t it fair to explore the types of medical billing that soars in healthcare industry? Physician billing and hospital billing are the two types to be clearly understood before stepping into the billing process. Prior to claim submission, and following the steps required for medical billing process, it’s very […]
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A Guide on Workers’ Compensation Claim Process

What can be more effective than learning about insurance policies before claim submission? Workers’ compensation claim process is unique as it is an insurance policy that benefits both employees and employers. With the help of workers’ compensation, any employee who had been injured or had met with an accident during the work process, receive benefits […]
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