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NPI Type 1 and NPI Type 2

Understanding NPI Type 1 and NPI Type 2: What You Need to Know

Introduction The National Provider Identifier (NPI) is a unique 10-digit identification number assigned to healthcare providers and organizations by the Centers for Medicare & Medicaid Services (CMS). It is a critical component of healthcare administration, ensuring accurate identification and streamlined billing processes. NPIs play a vital role in healthcare billing and compliance, as they are […]

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How to Credential a Provider with Insurance

Credentialing Process with Insurance Companies

Credentialing is the verification of a practitioner’s qualifications to become an in-network provider with insurance companies. It includes their education, training, license, and experience. It is a critical step in the healthcare industry that cannot be ignored. It is a lengthy and detailed process. In this article, you will learn the process of understanding and

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How to Verify Insurance Eligibility and Benefits

How to Verify Insurance Eligibility and Benefits?

Insurance eligibility verification is a crucial aspect of healthcare that practitioners must perform before providing services to patients. In this process, the healthcare providers verify the patient’s insurance coverage, benefits, and eligibility to ensure timely payments and prevent claim rejections. Insurance eligibility verification is associated with many benefits, including improving patient experience, ensuring compliance with

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J Codes in Medical Billing

J-Codes in Medical Billing; All you need to know

Medical billing requires proper coding for successful reimbursement procedures. As you know, many codes are used in medical billing and J codes place a significant place. In this article, we will discuss in detail the J codes, their purpose and specifications in healthcare medical billing. Understanding J-Code:  The Healthcare Common Procedure Coding System (HCPCS) level

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what is telemedicine

A Complete Guide to Telemedicine

The analysis and treatment of patients from a distance using communication technology is known as telemedicine.  The World Health Organization (WHO) defines telemedicine as “Healing from a distance.” Through the use of telemedicine, a patient can receive medical care from a doctor even when they are not there in person. Telemedicine services include examinations, consultations,

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How to Avoid Revenue Loss During Your EHR Transition

How to Avoid Revenue Loss During Your EHR Transition

The adoption of a new Electronic Health Records (EHR) system is a significant milestone for healthcare organizations. It promises improved patient care, streamlined workflows, and enhanced data management. However, the transition can also pose challenges, particularly when it comes to revenue management. In this article, we’ll delve into the complexities of managing revenue during an

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reimbursement models

Understanding Value-Based Reimbursement Models

Reimbursement Models: The landscape of healthcare reimbursement is undergoing a significant transformation, shifting from traditional fee-for-service models to value-based reimbursement models. This shift represents a fundamental change in how healthcare providers are compensated and aims to prioritize the delivery of high-quality care over the quantity of services rendered. In this article, we’ll explore the essence

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