by Updated on Commercial health insurance is issued by private companies and non-governmental organizations. Government-sponsored health insurance is usually available for specific groups of people, such as senior citizens, disabled people, people with low income, current military members and their families, veterans, members of Native-American tribes federally recognized. Government-sponsored insurance includes Medicare, Medicaid,…
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by Updated on Just like billing private payers, billers should send claims to Medicaid and Medicare. These are similar claims to those they send to private third-party payers. There are some notable exceptions, though. Since these programs are high-volume government payers, billers should send claims directly to Medicaid and Medicare. It means that…
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by Updated on Health insurance is one of the essential investments we make. Injuries, diseases, and other medical incidents can be extremely expensive if they require hospital visits or surgery. Securing health coverage is the only way to be sure you aren’t stuck with enormous medical bills that you have to cover out-of-pocket….
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by Updated on If you want to improve your knowledge of medical billing, learn new skills, and advance your career, you can consider investing some time and money into earning your medical billing certification. Below, you will find more information on how to prepare for the exam and how long it takes to…
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by Updated on There are many preparation materials for the Certified Professional Coding (CPC) exam provided by the AAPC. They are available on their website, but they are relatively expensive. Everything you need to know to pass the CPC exam can be learned at a community college or university. The AAPC training materials…
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by Updated on Similar to medical coding, medical billing process might seem complicated and large, but in reality, it’s a process that includes eight simple steps. These steps are: Registration. The setting of financial responsibility for the visit. Check-in and check-out of the patient. Ensuring coding and billing compliance. Preparing and sending claims….
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by Updated on Certification isn’t a strict requirement, but many medical billing professionals find that having a certification opens up more job opportunities, promotes significant career advancement, and a higher salary. There are various certifications offered by different organizations. In this article, we will explore the two major certifying agencies in medical billing….
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by Updated on Medical services and procedures are often complex, so there is a need for additional information when coding. CPT modifiers serve like modifiers in a language, providing additional information about the procedure. In a language, a modifier describes the who, or what, or why, or how, or where of a situation….
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by Updated on Medical billing can be an extremely complicated process. According to a 2016 public opinion survey by Copatient, approximately 72% of Americans are confused by their medical bills, while 94% have received bills that they found “too expensive”. Even with insurance or Medicare coverage, you may find unexpected fees because of…
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by Updated on Procedure and diagnosis codes are used to track the spread of diseases and the efficiency of a certain procedure. However, mainly, in the US, they are used in the reimbursement process. In other terms, codes are useful for accurate and efficient billing. Why We Bill When you go to a…
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by Updated on Many people wonder if they can work as a medical coder remotely. So is it possible to complete the job and submit it online? Remote coding offers a great component for many people, which is flexible work hours. To work remotely as a medical coder, you need a high-speed Internet…
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by Updated on ICD-10-CM is an alphanumeric code, containing seven characters. Every code starts with a letter followed by two numbers. The first three characters indicate the category, which describes the general type of disease or injury. Next, there is a decimal point and the subcategory. They are followed by one or two…
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by Updated on A person shared that they completed their medical coding and billing program but never went through to take a test for certification. They have been working for a year at a doctor’s office and completed their internship there as a receptionist. The candidate said they really wanted to pursue a…
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by Updated on Those who are interested in becoming a medical coder can take a look at this guide to see what coding diploma, certifications, and associate degree programs are available. You will find out about the difference between the programs, so you can pick the way most suitable to your needs and…
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by Updated on Medical coding resembles translation. Coders work with doctors’ reports, which usually include the condition of a patient, diagnosis, procedures, and prescriptions, and translate that into a set of codes. In turn, they are a significant part of a medical claim. Why We Code So, why is coding necessary? Isn’t it…
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by Updated on In the modern healthcare industry, medical billing and coding are two closely related aspects. They both are involved in the reimbursement cycle, which ensures that the services of health care providers are paid for. We will divide the two to take a closer look at them as parts of a…
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by Updated on The CPC examination contains 150 multiple-choice questions. It is fairly harsh since it takes about 5to 6 hours. You have two breaks in the middle. The price of the exam is $300. However, if you are an AAPC member, you will pay only $260. Individuals pay $125 of annual dues…
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by Updated on In this article, we will explore the third large code set, HCPCS (Health Common Procedure Coding System). It’s commonly known as hicks-picks. This code set bases on CPT and the first level of it is even identical to CPT. That might be confusing, so let’s get into more detail. The…
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by Updated on To obtain an entry-level position in medical billing and coding, candidates can earn certificates, diplomas, and associate degrees. For that, they can enroll in accredited online medical billing and coding schools and learn with a flexible schedule. Many programs are designed in an asynchronous format, so the learners can complete…
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by Updated on There are several certification opportunities in the medical billing and coding field. They are available through medical coder classes and medical billing and coding schools. In a variety of industries, employers usually require candidates to hold medical coding certificates to prove their skills, competences, and abilities in the discipline. They…
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