Are you having trouble finding information about Ambetter’s credentialing process? We have created a step-by-step enrollment roadmap just for you! Ambetter Health is a health insurance brand of Centene Corporation, the largest Medicaid managed care organization in the country. The company has been offering insurance products for nearly a decade. The best part? All of […]
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Ultrasound scans can be tricky to bill. Complex documentation and confusing modifier usage make the billing of these procedures challenging. On top of this, clear billing instructions and guidelines are also scarce for ultrasound procedures. A frequently used imaging code is CPT code 76536. Despite its frequent use, many billers struggle to file it correctly.
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Medical billing for nursing homes can be really challenging if you are not updated with the latest guidelines and requirements. Why? Mainly due to the complex documentation and the multi-level coding structures of the patient visits. Just the evaluation and management (E/M) visits are divided into three categories, i.e., initial visits, subsequent visits, and discharge
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Applying accurate code is a vital factor when it comes to collecting reimbursements for the rendered services. Healthcare providers conduct various types of drug tests. But how will they know which code is used for which test? CPT codes will tell us that. Every drug test has its own code. CPT code 80305 represents a
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Did you know Molina Healthcare is one of the major health insurance players, insuring 5.8 million individuals in the USA? It primarily focuses on providing health plans to government-funded programs, such as Medicare and Medicaid. Getting credentialed with it is a big step for healthcare practitioners as it enables them to start providing care services
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It takes a lot of time, presence of mind, and patience to provide rehabilitation services and teach patients self-care and home management techniques. In these situations, if occupational therapists are preoccupied with the intricacies of invoicing, it results in subpar service and unhappy patients. But then, how will they manage medical billing and collect reimbursement
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We know how hectic it is for cardiologist to look after their patients and simultaneously deal with medical billing. Echocardiography is one of the common imaging tests in the United States. Approximately 7.1 million echocardiograms are conducted each year. Additionally, there are various types of echocardiography, so when cardiologists start billing, they must be aware
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Want to join Medicare’s network but are confused about the different enrollment forms? Let us be your guide! Medicare is a federal health insurance program with over 68.9 million enrollments. This makes it the second largest source of health coverage in the U.S., right behind Medicaid. So, naturally, every provider wants to be a part
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Want to bill a chest CT scan, but not sure which code to use? You are not alone. Many billers face the same situation. Thoracic computed tomography is mainly billed with three CPT codes. Each code represents a slight variation of the procedure and often confuses the billers. One of these codes is CPT code
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Modifiers are an integral tool that help ensure coding accuracy and specificity. However, sometimes understanding the discrete nuances of each modifier, such as what they entail, when to apply one, and when to avoid them, can be too much to understand. Thus, the billing specialists at MediBillMD decided to start a library where you can
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