Specialty Clinic Referrals and Authorizations for Services

Specialty Clinic Referrals and Authorizations for Services

Prior authorizations and physician referrals are occasionally interchangeable, yet these phrases are significantly distinct. A primary care physician (PCP) issues a referral for the patient to visit a specialist. In contrast, the payer (an insurance company) grants...

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Medicaid Funding

Medicaid Funding

The New England region is home to some of the most highly respected medical institutions in the world. The excellent quality of care these facilities provide comes at a high cost, which is why Medicaid funding is so important in this part of the country. New England...

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How To Manage Through Summer Vacations At Your Clinic

How To Manage Through Summer Vacations At Your Clinic

As the temperature rises and summer approaches, more employees will be willing to take time off. This might be a straightforward procedure for some companies, but it can bring management issues for others, especially in the healthcare sector. So summer vacation...

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Making Best Use of the ICD-10-CM Billing Codes

Making Best Use of the ICD-10-CM Billing Codes

The ICD-10-CM refers to the standardized coding framework that the doctors and other healthcare practitioners in the United States use. It is used to identify and categorize all diagnoses, manifestations, and procedures associated with hospital treatment. It offers...

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Emergency Ambulance Bills- What You Need to Know

Emergency Ambulance Bills- What You Need to Know

The paramedics' team and other healthcare professionals who work for the Emergency Medical Services (EMS) Department mostly handle the Ambulance Billing section. While they may not appear as a problem, coding and billing require professional knowledge, making it...

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The Definitive Guide to Ambulance Billing

The Definitive Guide to Ambulance Billing

Ambulance billing is something of a specialty area, and it calls for a unique collection of requirements. Ambulance billing is set apart from other types of medical billing because it involves mileage requirements, as well as origin and destination modifiers, none of...

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How to Manage Ambulance Billing Effectively

How to Manage Ambulance Billing Effectively

Most people would agree that effective management of ambulance billing should be comprised of minimizing patient complaints, avoiding any kind of litigation, and recovering reimbursement monies in the shortest time frame possible for services rendered. That takes in...

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Most Overlooked Aspects of Ambulance Billing

Most Overlooked Aspects of Ambulance Billing

There is a good deal of complexity associated with ambulance billing, and that has caused frequent errors which result in claim denials by insurance carriers. In order to avoid having claims denied or processed very slowly, it can be really important for everyone...

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How to Choose Ambulance Billing Software

How to Choose Ambulance Billing Software

The true value of the EMS, emergency medical services is never really appreciated until it needs to be used. In the perfect world, it would be optimal if patients were able to prepay for emergency services or pay as soon as the services are received. Of course, it is...

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Top Mistakes in Ambulance Billing Costing You Money

Top Mistakes in Ambulance Billing Costing You Money

As specialists in medical billing, we’re well aware of just how tricky it can be to process a high number of invoices and ensure they’re paid on time. Of course, the process isn’t made easier if errors cause delays. If you want to keep your cash flowing, take a look...

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Tips to Improve Ambulance Billing Efficiency

Tips to Improve Ambulance Billing Efficiency

Ambulances are a necessary and heavily-relied upon part of every community. Imagine if we didn’t have ambulances. In the event of a sudden emergency, when someone needs to be transported to the hospital very quickly, what would we do? A lack of ambulances would lead...

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Your Guide to the School-Based Medicaid Program

Your Guide to the School-Based Medicaid Program

The Massachusetts Medicaid claiming process can be confusing, especially if you are not familiar with the applicable regulations and Medicaid billing process. Navigating through the school-based Medicaid system can seem daunting, but it doesn’t have to be so...

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How Medicaid in Education Adds Resources for Students

How Medicaid in Education Adds Resources for Students

You've probably heard of Medicaid, government funded health care coverage that provides medical care to low-income families. Did you even know, though, that it serves children in public universities too? Here are some major roles of Medicaid in education. Covers...

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5 Things to Know About School-based Medicaid Claiming

5 Things to Know About School-based Medicaid Claiming

The schools can be the best institutions to offer Medicaid programs to children. A joint state-federal program, Medicaid programs cover the administrative activities cost and medical services while reimbursing them. Schools deliver a range of services that can help...

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What Can Schools Bill Medicaid For?

What Can Schools Bill Medicaid For?

Schools can bill Medicaid for health-related services when those services are provided to children and adolescents who are enrolled in the Medicaid program, or when the services are offered through an Individualized Education Plan (IEP). These plans are covered under...

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Your Guide to the School-Based Medicaid Program

Your Guide to the School-Based Medicaid Program

The Massachusetts Medicaid claiming process can be confusing, especially if you are not familiar with the applicable regulations and Medicaid billing process. Navigating through the school-based Medicaid system can seem daunting, but it doesn’t have to be so...

read more
How Medicaid in Education Adds Resources for Students

How Medicaid in Education Adds Resources for Students

You've probably heard of Medicaid, government funded health care coverage that provides medical care to low-income families. Did you even know, though, that it serves children in public universities too? Here are some major roles of Medicaid in education. Covers...

read more
5 Things to Know About School-based Medicaid Claiming

5 Things to Know About School-based Medicaid Claiming

The schools can be the best institutions to offer Medicaid programs to children. A joint state-federal program, Medicaid programs cover the administrative activities cost and medical services while reimbursing them. Schools deliver a range of services that can help...

read more
What Can Schools Bill Medicaid For?

What Can Schools Bill Medicaid For?

Schools can bill Medicaid for health-related services when those services are provided to children and adolescents who are enrolled in the Medicaid program, or when the services are offered through an Individualized Education Plan (IEP). These plans are covered under...

read more

Your Guide to the School-Based Medicaid Program

Your Guide to the School-Based Medicaid Program

The Massachusetts Medicaid claiming process can be confusing, especially if you are not familiar with the applicable regulations and Medicaid billing process. Navigating through the school-based Medicaid system can seem daunting, but it doesn’t have to be so...

read more
How Medicaid in Education Adds Resources for Students

How Medicaid in Education Adds Resources for Students

You've probably heard of Medicaid, government funded health care coverage that provides medical care to low-income families. Did you even know, though, that it serves children in public universities too? Here are some major roles of Medicaid in education. Covers...

read more
5 Things to Know About School-based Medicaid Claiming

5 Things to Know About School-based Medicaid Claiming

The schools can be the best institutions to offer Medicaid programs to children. A joint state-federal program, Medicaid programs cover the administrative activities cost and medical services while reimbursing them. Schools deliver a range of services that can help...

read more
What Can Schools Bill Medicaid For?

What Can Schools Bill Medicaid For?

Schools can bill Medicaid for health-related services when those services are provided to children and adolescents who are enrolled in the Medicaid program, or when the services are offered through an Individualized Education Plan (IEP). These plans are covered under...

read more

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