Medical Billing Discussion

TOS are used to represent the different types of services and Supplies rendered by the provider. TOS - Definitions 1 - Medical Care 2 -...

Creating treatment details: (Charge Creation) (i) Medical Record Number: This is the number allotted by the physician’s office to track t...

Functions of Charge Entry: (i) Registering the patient’s details from Front office (ii) Status of the patient (Existing / New patient). ...

The INSURED and/or PATIENT may authorize the placing of their respective signatures on the medical claim form by the billing medical entity ...

When a provider agrees to accept the carrier’s determination of the approved as the full fee for the services rendered it is called Accept A...

Financial classes are to track categories of patient purposes. It defaults at the patient demographic and ties to the charge. The AR Report ...

Contents of Demographics: Patient Details:  Account Number: Generating the patients account number.  Patient Name: Patient name shou...

Documents submitted by a New patient at the Front Office: (a) Patient Demographic details (b) Guarantor Details (c) Patient & Guaran...

AA - Anesthesia services personally performed by anesthesiologist - Distinct fee schedule amount. Affects payment. AD - Medical supervisi...

HCPCS code modifiers accompany HCPCS codes (e.g., CPT, level II) to provide additional information regarding the product or service identifi...

Healthcare Common Procedure Coding System (HCPCS, pronounced as “hick-picks”) presents the procedure/service codes reference developed by CM...

The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ICD-9 codes 001-13...

CPT modifiers clarify services and procedures performed by providers, and while the CPT code and description remains unchanged, modifiers in...

Description                               Range of codes Evaluation & Management         99200 – 99499 Anesthesiology                ...

Category I Codes: Procedures/services identifies by a five-digit codes Category II Codes: contain "performance measurements" ...