Revolutionising Healthcare: The Journey of Innovation Centers Towards Quality of services, Affordability, and Financial Success. This Article looks at the relationship between innovation centers and Quality […]

EOB (Explanation of Benefits) and ERA (Electronic Remittance Advice) is the document which explains the breakdown of the services, is accompanied by the final decision made […]

One of the most common denial you will get while working in medical industry is “claim not of file”. This basically means claim is not received […]

Timely filling means submitting the claim with the payer/insurance within the timeframe defined by that insurance/payer from DOS (Date of Service). Keeping up with Payer regulations […]

About 30% claims are denied on their first submission due to different factors. Claim adjudication in Medical billing involves the process in which insurance companies check […]

If your Clean Claim Rate (CCR) is below 95%, it means your healthcare practice is losing revenues moreover increasing expenses due to rejected claims. Note that […]

With rising costs worldwide, Cutting cost is priority for every organisation including the medical billing but without the expense of quality. Companies operating in US offering […]

There are different reimbursement models used in USA. FFS (Fee For Service) has been the most favoured model and still being utilised by most popular managed […]

ICD-10-CM codes are developed by WHO (World Health Organisation) as an international language for health statistics. All potential illnesses, injuries, and causes of mortality are coded […]

Artificial intelligence in Medical billing, for now, may create a template chart for the medical biller to review and draw the attention to the details where […]