NCD vs. LCD – Important things to know
recei Local coverage determination (LCD) It is the responsibility of Medicare Administrative Contractor (MAC) to set...
Common Terminology
Deductible
Deductible (PR1) It is a fixed amount that the policyholder needs to pay out...
Navigating Appeals and reconsideration
Dispute/Reconsiderations: A disagreement between Insurance and a provider over the amount the provider was paid...
The Birthday Rule for Newborn Baby Insurance
The Birthday Rule for Newborn Baby Insurance Coverage •It is a set of rules that...
Established vs new patient
Evaluation and management (E/M) The healthcare providers report E/M codes often on medical claims. New...
Advanced Beneficiary Notice
An Advanced Beneficiary Notice or Waiver of liability is a notice given by a provider...