Blog Post
Medical billing is the process of submitting claims to insurance companies or patients for reimbursement of medical services, involving coding, claim generation, and following up on payments to ensure healthcare providers get paid.
DRG – Diagnosis Related Group
DRG: DRG system payment depends on the following factors: DRG-Related Weight: Hospital Payment Calculation:
Medicare and its types, Part A, Part B, Part C & Part D Services
Medicare is a federal health insurance program mainly for people 65 and older, and for younger individuals with disabilities or serious conditions like kidney failure. If you’re a kidney patient, understanding Medicare helps you get the care you need without surprise costs. Here are the Medicare basics: Key LSI Keywords: federal health insurance, Medicare eligibility, … Read more
Revenue Cycle Management Steps
Revenue Cycle Management is used in the healthcare system of the United State of America. It is useful to track the revenue for providers for the services taken by patients. It starts with a patient appointment when a patient needs any treatment or patient has any illness and ends up with the resolution of service … Read more
National Drug Code (NDC Code)
Whether you’re processing medication claims, working in pharmacy billing, or managing healthcare inventory, you’ve likely crossed paths with something called an NDC code. Short for National Drug Code, this is more than just a string of numbers on a label—it’s a federally regulated identifier that plays a vital role in drug identification, billing, and compliance … Read more
Medicare Deductible & Premium
Medicare Deductible: Medicare Premium:
Medicare Secondary Payer (MSP)
12 – Working Aged Beneficiary or Spouse with Employer Group Health Plan 13 – End-Stage Renal Disease Beneficiary in the 30-Month Coordination Period with an Employer’s Group Health Plan 14 – No-fault insurance, including auto, is primary (any no-fault insurance) 15 – Workers’ Compensation … Read more
Tricare & VA Coverage
TRICARE: VETERANS AFFAIRS / ADMINISTRATION (VA):