What are the types of Health Insurance Claims?
A health insurance claim is a formal request to health insurance providers to pay the covered treatment expenses of their policyholders. When patients who are in-network with any insurer receive…
What is a Clean Claim in Medical Billing?
Denials and delays in payments after such hard work sucks! And yes, we know it really does. Delays in payments and disturbances in RCM can cause severe effects on your…
How to Get Insurance to Cover Botox for Migraines?
To get insurance to cover Botox for migraines, prove it's medically necessary with headache logs, treatment history, and specialist referrals. Verify your policy covers it through direct contact with your…
How Long Should Providers Keep EOBs?
As the Best Medical Billing company, we often get asked questions like, “How long should providers keep EOBs (Explanation of Benefits)?” Let us quickly answer this question in this post.…
What Payers Do Not Accept Consult Codes?
Recently, healthcare practices have been experiencing a high number of claim denials when billing and reporting consultation codes (99241-99245, 99251-99255) to private insurance companies. This problem started after CMS chose…
GI Cocktail Coding & Billing Essentials: What Every Coder Needs to Know
Quick Overview ➤ There is no specific medical billing code for a GI cocktail, which is a mixture of medications often given to patients experiencing nausea, vomiting, or abdominal discomfort.…
What Are The Highest Audited Modifiers by Payers?
Did your insurance company let you know that there would be an audit? Do not worry. It's just a normal thing to do. Now, if you did something really bad,…
Medical Billing Frauds that Trigger a Medicaid Audit
In the year 2024, $2.76 billion worth of health care fraud was recorded. Sadly, 76 healthcare professionals were involved in these fraudulent activities. Though all defendants faced severe penalties and…
How to Reduce Medical Billing Underpayments?
A medical practice’s financial stability depends on accurate and immediate reimbursement. Your practice may be at sixes and sevens when the payer underpays the medical claims. You may not have…
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Do Nurses require an NPI Number? [ANSWERED]
Are you a nurse in the US? You work hard helping, checking on, and comforting patients. You know your National Provider Identifier (NPI) number. It's a unique 10-digit ID for…