HMS Medical Billing Blogs

 NPI Type 1 vs NPI Type 2

What Every Healthcare Provider Should Know About N ...

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

POS 02 and POS 10

New Telehealth Rules, New POS Codes - What to Know ...

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

What is Balance Billing

What is Balance Billing? A Practical Guide for Con ...

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

Write Off In Medical Billing

All You Need To Know About Write Off In Medical Billing

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

Copay In Medical Billing

What is Copay In Medical Billing?

Cost sharing is a fundamental concept that shapes how patients and providers interact financially. Among the key component...

 A/R Aging Report In Medical Billing

What is an Aging Report in Medical Billing? A Comp ...

Unpaid balances and delayed reimbursements are part of every medical billing operation, but knowing how to tackle them eff...

LUPA in Home Health

Understanding LUPA in Home Health & Why Every Agen ...

Low Utilization Payment Adjustment (LUPA) has long been a critical element in home health care billing, but its importance...

Will Medicare Cover Hospice Care

Will Medicare Cover Hospice Care Long-Term? Here’s ...

Hospice and Medicare coverage is one of those topics that many people don’t think about until they need to, and by t...

CDI In Healthcare

What is CDI in Healthcare? A Beginner's Guide to C ...

Healthcare is built on precision—not just in patient care but in the way that care is documented. Each note, diagnos...

Illegal Dental Billing

Exposing Illegal Dental Billing Practices in Moder ...

When it comes to patient care, trust is the foundation of the patient-provider relationship. Unfortunately, not all practi...

Orthodontic Billing & Coding Guidelines

Orthodontic Billing & Coding Guidelines

Effective billing and coding for orthodontic services is essential for accurate claims submission and consistent reimburse...

Top Medicare Changes for 2025

What's Changing in Medicare for the Year 2025

Remember the Inflation Reduction Act of 2022? That was a game-changer for many of us. One of the biggest wins was getting ...

Claim Adjudication

All You Need to Know About Claim Adjudication - A ...

You send off a patient's claim to their insurance company, expecting everything to go smoothly. They review it, and so...

Top 10 denials in medical billing

Top 10 Medical Billing Denials That Could Be Costi ...

Medical billing denials are more than just an inconvenience—they’re a financial headache that can bring your p...

CCM Billing Guidelines

Billing Guidelines For CCM Services 2024

Providing effective Chronic Care Management (CCM) requires a deep understanding of the guidelines set forth by CMS. Whethe...