HMS Medical Billing Blogs

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...

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 ...