HMS Medical Billing Blogs

The National Correct Coding Initiative (NCCI) represents one of Medicare's most sophisticated claim review mechanisms,...

The CLIA of 1988 established a federal framework regulating laboratory testing on human specimens for health purposes. For...

The Qualified Medicare Beneficiary (QMB) program is a critical financial support mechanism designed to assist low-income i...

Most healthcare providers recognize that delivering quality care is essential to driving practice success. Yet many overlo...

The Centers for Medicare & Medicaid Services (CMS) has released its final payment rates for Medicare Advantage (MA) an...

In the complex world of medical billing, time-based coding remains one of the most misunderstood—and consequently, o...

For newly graduated physicians or those transitioning to new practices, the credentialing process presents a significant c...

In facility-based healthcare billing, the UB-04 form stands as one of the most important documents in the revenue cycle. I...

Medical billing is a complex yet essential aspect of the healthcare industry, ensuring that healthcare providers receive a...

Many providers assume that being out-of-network automatically means fewer patients, unpredictable reimbursements, and cons...

Privacy is the foundation of trust in healthcare, forming the bedrock of the patient-provider relationship. In the context...

Every healthcare provider needs an NPI number to work in the healthcare system. Whether you’re starting your own pra...

Since the COVID-19 outbreak, telehealth has emerged as a cornerstone of healthcare delivery, enabling patients to access c...

Just imagine you visit a hospital for a medical procedure, carefully choosing an in-network facility to keep your costs ma...

In healthcare revenue management, every number tells a story. Claims are submitted, payments are processed, and adjustment...