Healthcare Articles

HCPCS modifiers work similarly to CPT modifiers. These code sets are so similar that you can often use modifiers from one code set with another. For instance, the -LT modifier in the HCPCS code set is often used in the CPT codes to describe a bilateral procedure that was only…

The CPC examination contains 150 multiple-choice questions. It is fairly harsh since it takes about 5to 6 hours. You have two breaks in the middle. The price of the exam is $300. However, if you are an AAPC member, you will pay only $260. Individuals pay $125 of annual dues…

Just like billing private payers, billers should send claims to Medicaid and Medicare. These are similar claims to those they send to private third-party payers. There are some notable exceptions, though. Since these programs are high-volume government payers, billers should send claims directly to Medicaid and Medicare. It means that…

Now is a good time to consider a career in the medical billing and coding industry. The health care system in America is modernizing as a significant part of the population is retiring. So the demand for health care professionals who can process data is increasing. As the Bureau of…

In the modern healthcare industry, medical billing and coding are two closely related aspects. They both are involved in the reimbursement cycle, which ensures that the services of health care providers are paid for. We will divide the two to take a closer look at them as parts of a…

Procedure and diagnosis codes are used to track the spread of diseases and the efficiency of a certain procedure. However, mainly, in the US, they are used in the reimbursement process. In other terms, codes are useful for accurate and efficient billing. Why We Bill When you go to a…

Commercial health insurance is issued by private companies and non-governmental organizations. Government-sponsored health insurance is usually available for specific groups of people, such as senior citizens, disabled people, people with low income, current military members and their families, veterans, members of Native-American tribes federally recognized. Government-sponsored insurance includes Medicare, Medicaid,…