Kaiser Permanente is a leading integrated managed care consortium in the USA. It provides care and coverage for more than 12.5 million members. Here is the network’s overview in numbers: Are you a healthcare provider or a facility struggling to join this massive network? If yes, this guide discusses the Kaiser Permanente credentialing process to […]
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Did you know that nursing homes provide care services to approximately 1.2 million individuals in the USA? This highlights the need for attentive, high-quality care. However, for physicians, this attention extends beyond the patient’s bedside to the complex process of medical billing. How? Since each visit to a nursing facility represents a vital part of
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Seeking the correct code to bill for a unilateral diagnostic mammogram? CPT code 77065 is the right choice. But do you really know its billing requirements? Approximately 43 million mammography procedures are performed annually in the U.S. However, only 10% of patients are recalled for further evaluation, that is, a diagnostic mammogram. So, while this
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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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