Florida Insurance Market Trends and Challenges The Florida insurance market has long been known for its unique challenges and trends. As a state prone to […]
Author: Sadia Pansota
5 Main Health Solutions to Improve Your Well-Being
As the saying goes, “health is wealth.” Indeed, good health is essential for living a happy and fulfilling life. However, maintaining good health can be […]
Negotiating a Fee Schedule Contract
Negotiating a fee schedule contract with a health insurance provider in the USA can be a complex process, but here are some general steps that […]
Relative Value Units RVUs
What are RVUs? RVUs (Relative Value Units) and conversion factors are used to calculate the reimbursement amount for medical services in the United States. RVUs […]
MIPS – Collecting Data
The Merit-based Incentive Payment System (MIPS) is a program that is designed to incentivize healthcare providers to provide high-quality care to their patients. The MIPS […]
MIPS/MACRA _ Value Based Care
The Merit-Based Incentive Payment System, or MIPS, is a program developed by the Centers for Medicare and Medicaid Services (CMS) that rewards healthcare providers for […]
BCBSM and BCN
What is BCBSM and BCN ? Blue Care Network of Michigan is a subsidiary of Blue Cross Blue Shield of Michigan. It is a health […]
Allergic Asthma: Symptoms, Treatments
Asthma is a chronic respiratory disease that affects millions of people worldwide. Allergic asthma is a type of asthma that is triggered by allergens, such […]
What is revenue Cycle?
The process of billing claims and reimbursement is called “Revenue Cycle”.
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. […]