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RCM Revenue Cycle Management

RCM - Revenue Cycle Management guide is the useful healthcare information of United States. This RCM guide is a free to use and contains useful information on Demo Entry, Medical Coding, Charge Entry, Claim Submission, Payment Posting and AR Follow Departments.

Actived: 5 days ago

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Health Insurance in US (United States)

(8 days ago) Some health insurance plans also covers the prescription drugs. Insurance company is also known as insurer or health plan and it is an organization contracted with patient to pay for his health care expenses. Do you need health insurance in US (United States)?

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Charge Entry in Medical Billing Process

(7 days ago) It relates not only whether a health care services of the procedure is covered but also to find whether the health care services is medically necessary. Billed amount: Billed Amount also called as charge amount. It is the amount charged for each service performed by the provider and entered at the time of charge entry.

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Offset in Medical Billing with Example

(4 days ago) Offset example in medical billing: Let us assume Doctor-A rendered the health care services for patient Alex on 12/01/2019 and they have billed the claim to the insurance company with billed amount $200.00 and received a payment of $100.00 to the provider on 12/18/2019.

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Denials with solutions in Medical Billing

(7 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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Denial Codes in Medical Billing

(8 days ago) Denial Code - 140 defined as "Patient/Insured health identification number and name do not match". Check eligibility to find out the correct ID# or name. Update the correct details and resubmit the Claim. 146: Denial Code - 146 described as "Diagnosis was invalid for the DOS reported". 1) Get the Claim denial date?

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BCBS Prefix List

(2 days ago) Health insurance policy number: Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. BCBS Prefix: BCBS prefix is a three character prefixes followed by the id number except for the following products and programs.

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Molina Healthcare Phone Number and Claims address

(6 days ago) Molina Healthcare of Florida - Medicare. (Molina Medicare Option Plus) 51062. PO Box 22811. Long Beach, CA 90802. Provider Services: 855-322-4076. Member Services: 866-553-9494.

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Blue Cross Blue Shield Address

(6 days ago) Behavioral Health: Commercial Plans(HMO,PPO & NEHP) and Taft-Hartley: Anthem Blue Cross and Blue Shield PO Box 533 North Haven, CT 06473-0533 Behavioral Health: Commercial Plans(Federal Employee Program): PO Box 105557 Atlanta, GA 30348-5557 Medicare Advantage Plans(Anthem MediBlue/ Anthem MediBlue Dual Advantage): PO Box 1407 New York, NY 10008

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Healthfirst Customer Service-Health First Provider Phone

(1 days ago) 855-949-3668. Healthfirst Customer Service Telephone Number – Health First Phone Number for Plan Renewal. Healthfirst Plan Renewal. 855-566-2620 (Medicaid Managed Care and Child Health Plus) 855-718-1822 (Essential Plan and Leaf Plans) Healthfirst Customer Service Telephone Number – Health First Phone Number for Utilization Management.

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United Healthcare Phone Number

(9 days ago) Medica Healthcare Supplement United Healthcare Provider Number. Authorizations and Notifications. 866-273-9444. Eligibility and Benefits Verifications. 800-348-5548. Claims. 800-348-5548. Claims (WellMed) 800-550-7691.

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Aetna address and Aetna Provider Phone Number

(5 days ago) Aetna Medical and Behavioral health. 888-632-3862. Coventry (Including workers compensation and auto injury) 800-937-6824. Dental. 800-451-7715. Pharmacy. 800-238-6279. Aetna Provider Phone Number for below plans - 800-624-0756.

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Payment Posting in Medical Billing

(Just Now) Health Saving Account-HSA:A bank account used to pay for health care expenses. Patient or patient employer can put tax free amount into their Health saving account and this can be used to pay for patient share of care costs like deductible or coinsurance. Claim in Process:Claim received and it’s still in process.

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What is Medical Billing and Medical Billing process steps

(Just Now) What is Medical Billing? Medical Billing is a process of billing the healthcare claims to the respective insurances (also known as carriers) of the patient from the providers or medical billing companies in order for reimbursing the provider for the healthcare services delivered to the patient.

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BCBS Federal Phone Number for Providers and Members

(1 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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Place of Service Codes – CMS POS Code 2021 List in Medical

(8 days ago) Place of Service Codes is also known as POS codes in Medical Billing and are maintained by CMS –Centers for Medicare and Medicaid Services). This Place of Service codes is a 2 digit numeric codes which is used on the HCFA 1500 claim form while billing the medical claims to the health care insurance companies, denoting the place where the healthcare services was performed …

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BCBS Prefix List SAA to SZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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Ambetter Timely Filing Limit

(4 days ago) Ambetter from Buckeye Health Plan - Ohio: Initial Claims: 180 Days from the DOS (Participating Providers). 90 Days from the DOS (Non Participating providers). Reconsideration or Claim Disputes/Appeals: 180 Calender Days from the date of EOP or denial is issued (Participating provider).

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CO 45 Denial Code

(3 days ago) It is the total amount charged from the provider to an insurance company for the health care services rendered to the patient. Provider Billed Amount = Insurance Allowed Amount + Write off. Fee Schedule: It is the lists of allowed amount document that gives the cost for each procedure code based on the patient insurance plan.

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BCBS Prefix List CAA to CZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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BCBS Prefix List NAA to NZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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Ambetter Phone number

(6 days ago) Ambetter from Arkansas Health and Wellness Member and Provider Services Phone Number: 877-617-0390. Ambetter from Buckeye Health Plan - Ohio. 68069. 4349 Easton Way, Suite 200. Columbus, OH 43219. Ambetter from Buckeye Health Plan Member and Provider Services Phone Number: 877-687-1189. Ambetter from Coordinated Care - Washington.

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BCBS Prefix List MAA to MZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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Modifier 50 in Medical Billing

(7 days ago) Usage of Modifier 50 with examples: Example 1: A baby born at 32 weeks undertook five photocoagulation health care services to both the eyes due to retinopathy of prematurity at six months of age. Provider used an operating microscope during these procedures. These services occurred once per day for a defined treatment period of five days.

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Amerihealth Caritas Phone Number, Payer ID, TFL and Claim

(5 days ago) AmeriHealth Caritas New Hampshire Provider Phone Number, Claims address, Payer ID and Timely filing Limit. 87716. PO Box 7387. London, KY 40742-7387. AmeriHealth Caritas New Hampshire Provider Phone Number: (888) 599-1479. 120 Days from the DOS.

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CO 15 Denial Code – The authorization number is missing

(Just Now) It is a system where certain health care services needs approval from the insurance company, so provider has to obtain approval before the health care provider render those services to patient . By this system it relates not only whether a service of the procedure is covered as per the plan, but also to find out whether it is medically

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CO 197 Denial Code

(5 days ago) Physician has to obtain permission for certain health care services from the insurance company before rendering those services to patient, in order to get the claim reimbursed. Retro authorization: Physician can obtain permission for health care services from the insurance company after the services rendered to patient in order for claims get paid.

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BCBS Prefix List HAA to HZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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BCBS Prefix List EAA to EZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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BCBS Prefix List DAA to DZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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BCBS Provider Phone Number

(2 days ago) 800-676-2583 (Anthem Medicare Group Business) 866-408-6131 (Anthem Indiana Medicaid/Hossler health wise) 855-661-2028 (Anthem Kentucky Medicaid) 866-594-0521 (Blue Card Provider Phone Number) 855-854-1438 (Exchange Kentucky/Indiana) 800-456-3967 (FEP) 800-345-4344 (Healthy Indiana Plan - HIP) Louisiana. 800-495-2583.

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BCBS Prefix List RAA to RZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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Timely filing limit of Insurances

(9 days ago) Timely Filing Limit: Timely Filing Limit is the time frame set by insurance companies and provider has to submit health care claims to respective insurance company within the set time frame for reimbursement of the claims.

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BCBS Prefix List VAA to VZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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BCBS Prefix List WAA to WZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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BCBS Prefix List JAA to JZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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BCBS Prefix List N2A to N9Z

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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BCBS Prefix List XAA to XZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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Medicaid Phone Number

(7 days ago) Public Health Services: 603-271-4501 Special Medical Services: 603-271-4488: New Jersey Medicaid Phone Number Department of Human Services, Division of Medical Assitance and Health Services-DHS: Apply for NJ Family care/ Select Medicaid Health Plan: 800-701-0710 Fraud and Abuse: 800-701-0710 Medicaid Health Benefits Identification Card Requests

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BCBS Prefix List IAA to IZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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Workers Compensation

(2 days ago) Workers compensation covers the costs related to work place injuries for employees and this coverage depends and it includes ambulance, medical expenses, medication, physical rehabilitation, missed wages, disability compensation, death compensation to dependents and funeral expenses. It also protects the employer’s risks from being sued by

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Kaiser Permanente Phone Number

(5 days ago) Kaiser Permanente - Claims address. Kaiser Permanente - HMO/DHMO/Senior Advantage Products. Member Services: 800-464-4000. Medicare Member Services: 800-443-0815. 800-390-3510. PO Box 7004. Downey, CA 90242-7004.

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BCBS Prefix List KAA to KZZ

(3 days ago) Health Insurance in United States of America (1) Healthfirst Directory (1) ICD 10 Codes Guide – Healthcare (32) Kaiser Permanente Directory – Healthcare (1) Medicaid Directory – Healthcare (1) Medical Billing Cycle – Healthcare (7) Medical Terminology List – Healthcare (2) Modifiers Guide – Healthcare (11) Molina Directory

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CO 5 Denial Code

(3 days ago) Procedure Code: Procedure code is a 5 character code (numeric or alpha numeric) used to describe the healthcare services/treatment provided by the healthcare provider/ hospital. Procedure Code indicated on HCFA 1500 in field location 24D. Bill Type: Bill Type is a 3 digit code, which describes the type of bill a provider is submitting to insurance.

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Coordination of Benefits

(Just Now) Coordination of Benefits. Coordination of Benefits means a way to decide which insurance is responsible to pay the medical expense as primary, secondary and then tertiary, whenever patient is covered by more than one insurance plan. Coordination of Benefits is also called as COB in Medical billing. COB is the usual run-through to share the cost

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