The process of billing claims and reimbursement is called “Revenue Cycle”.
Month: November 2022
Provider’s Enrollment and Credentialing
What’s the Difference between these two? Credentialing Explained: Validating a healthcare provider in a private health plan and the approval to join the network is […]
Hierarchical Condition Categories-HCCs
HCCs (Hierarchical Condition Categories) aren’t a new idea, but they didn’t attract wide interest until CMS began shifting more payment toward value-based programs, particularly MACRA, […]
Emergency Room Medical Billing
Due to the growing number of payers, it has been noted that payment collection for emergency department and urgent care providers is getting more difficult. […]