Health Insurance

Medicare and its types, Part A, Part B, Part C & Part D Services

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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

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Steps-in-the-Medical-Billing-Process

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)

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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 Secondary Payer (MSP)

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       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

Medicaid – QMB, SLMB, QI & QDWI Program

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1) These are the Medicare programs established to help low-income beneficiaries where Medicaid pays their Medicare Part A & Part B premium, Medicare coinsurance, and Medicare Deductible. 2) Below are the Medicare programs and their covered benefit, 3) You will find a scenario where a claim was paid by Medicare as primary and Medicaid denied … Read more