What is 25 modifier and how to use it for insurance Payment
What is a 25 modifier in medical billing? In general medical billing, you might wonder why the 25 modifiers are often used. if you have seen and come across such …
How to code for diagnosis and procedures related to “Monkey pox”
Its been a lot in the news lately and you all know that there is a recent Viral Zoonosis spreading all over the world called “Monkey Pox“. Many hospitals started …
List of Physician Specialty Codes list (2022)
What are Physician specialty codes? All physicians, practitioners, and other suppliers who provide services under Medicare must enroll in the program before any claims can be processed. At the time …
CO 24 denial code in medical billing (Capitation)
What are Capitation Payments and how to work on the denial? A capitation payment plan is agreed upon between an insurer and a medical provider to pay periodic payments to …
How does HMO, PPO, EPO, and POS plan varies from each other
What are HMO, PPO, EPO, and POS? The simple answer is all those come under managed care, each has its own specification with pros and Cons. with the patient benefits, …
Difference between underpayment and overpayment in medical billing
What is Underpayment and overpayment in medical billing The exact answer is if the claim paid more than the expected Contracted allowed amount then it is called Overpayment. Similarly, If …
Workers’ compensation insurance USA (2022)
What is workers’ compensation insurance and why do we need it? In the United States, workers’ compensation coverage pays for medical treatment and a percentage of wages if the employee …
UB04 Type of Bill Codes(TOB) List Updated as of (2022)
What is the Type of bill? TOB(Type of Bill) Code has 4 digits with alphanumeric code. TOB codes specify different segments of information on the UB-04 claim form/CMS-1450 claim form. …
UBO4 box Explanation and required fields description to submit the claim (2022)
UBO4 has 81 boxes in total. The UBO4 claim form is used by institutions to bill Medicare/Medicaid and other insurance companies. It is mandatory to enter all the Required fields-R. …
CMS 1500 claim form Box description and important fields explanation (2022)
Introduction: What is the CMS1500 form? The CMS1500 form is a uniform billing form used by medical providers across the United States to submit claims for reimbursement from a government …
