HMS Medical Billing Blogs

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...

Pass Through Billing

The Ultimate Guide to Pass-Through Billing - Every ...

While maximizing revenue is a goal for any medical practice, it's crucial to do so ethically and within the bounds of ...

Role of AI In Medical Billing

The Helpful Role of AI In Medical Billing & Coding

The healthcare industry is no stranger to artificial intelligence (AI). As the AI revolution sweeps across fields, it'...

par vs non par

Par vs Non-Par Provider - Essential Resource Guide ...

Is Medicare participation costing you more than it's worth? Many healthcare providers face a dilemma: staying "in...

What is ABN in medical billing

What Is ABN In Medical Billing? What You Need to Know

Have you ever received a question from a Medicare patient about an Advance Beneficiary Notice (ABN)? ABNs can be a source ...

Upcoding and Downcoding In Medical Billing

What Is Upcoding and Downcoding In Medical Billing?

Coding errors can be a costly headache for any healthcare provider. You've likely heard the terms "upcoding"...

hopd-vs-asc-understanding-payment-differences

A Deep Dive into HOPD vs. ASC Payment Disparities

The landscape of outpatient care offers patients a choice between hospital outpatient departments (HOPDs) and ambulatory s...

what-is-cin

What is a Clinically Integrated Network & Why You ...

The old adage, "Two heads are better than one," rings especially true in healthcare. The healthcare landscape is...

HCC Coding

HCC Coding in the Age of Value-Based Care - What Y ...

The shift from fee-for-service to paying for quality outcomes is revolutionizing how you approach patient care and reimbur...

What Does a Clearing House Do During Claims Submission

How a Clearinghouse Facilitates Claims Submission ...

Healthcare providers handle a massive volume of claims every day, and a surprising number get denied due to errors. These ...

What is Sequestration In Medical Billing

What is Sequestration In Medical Billing - Is Seq ...

If you've ever received a medical bill, you may have noticed a small deduction marked "sequestration." This ...

Warning Signs Your Claims Might Be Underpaid

Warning Signs Your Claims Might Be Underpaid: A Gu ...

Your practice's financial stability relies on accurate and timely reimbursement. Underpaid claims chip away at your re...

J Codes In Medical Billing

What Is A J Code In Medical Billing - A Health Car ...

Do you ever feel like your medical billing system speaks a different language when it comes to injectable medications? Tho...

What is Third Party Medical Billing - Why You Need ...

Have you ever found yourself tangled in the web of billing complexities instead of focusing on what you do best—cari...

Insurance Claim Timely Filing

All You Need to Know About Timely Insurance Claim ...

Timely filing is a cornerstone in steering your healthcare practice toward efficient and prompt reimbursements. It's n...