Guide – Medical Billing and Coding

Pre-authorization in healthcare plays a crucial role in managing costs and improving the quality of patient care. It is a

Global Period refers to a term used in healthcare to indicate a defined timeframe surrounding a surgical procedure during which

COBRA, short for the Consolidated Omnibus Budget Reconciliation Act, is a federal law enacted in 1985 that provides certain employees

Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) are two common types of managed healthcare plans offered by insurance

Managed care plans, a prominent form of healthcare delivery system in the United States, offer a comprehensive approach to controlling

Managed care plans are a type of healthcare delivery system that aim to provide cost-effective, high-quality care to patients while

Crossover claims play a crucial role in healthcare billing by facilitating the coordination of benefits between multiple payers for a

Capitation and fee-for-service are two common payment models in healthcare that have distinct advantages and disadvantages. Understanding the differences between

Capitation is a method of payment used in healthcare systems where healthcare providers receive a fixed amount of money per

Revenue cycle management (RCM) in the healthcare industry is experiencing significant transformation and evolution due to advancements in technology, changing