Medical Billing and Coding Information Guide
We have already discussed with great detail that the denial code stands as a piece of information to the patient of the claimant party stating why the claim was rejected. Today we discussed PR 204 denial code Description in this article. Denial Code PR 204- “This service, equipment and-or drug is not covered under the … Read more
Lipids are fat molecules in blood and lipid panel is a blood test that measures the amount of lipid molecules in the blood. In this test, the panel includes 4 different cholesterol and triglycerides measurements of your blood. If you work in healthcare industry or medical billing and coding or have ever had a blood … Read more
Revenue codes in medical billing are 4 digit numeric ids that are used in hospital bills to notify insurance companies that what type of services received by patients. These are 4 digit number always starting with “0 (Zero)”. We have updated the Revenue Code List 2024 for Medical Billing as per the latest information. The … Read more
Denials management is the most important work in medical billing because if any claim is not paid and denied from insurance companies due to any reason, it is medical billing company’s responsibility to handle the received medical billing denial codes appropriately and try their best to re-process the claim and receive respective payment. Claims that … Read more
The Diagnosis Related Groups (DRGs) have been developed as the foundation of the Medicare hospital reimbursement system. These DRGs ( Diagnosis Related Groups) are a patient classification system that offers an approach to linking the types of patients that the hospital treats to the cost that the hospital incurs. The process of designing and developing the DRGs began in … Read more
Blue Cross Blue Shield denial codes or Commercial ins denials codes list is prepared for the help of executives who are working in denials and AR follow-up. Most of the time when people work on denials they face difficulties to find out the exact reason of denials, so this Blue Cross Blue Shield denial codes … Read more
CPT Codes stands for Current Procedure Terminology Codes and all these list of CPT codes are used to describe medical services and procedures, tests, surgeries, etc, performed by a health professional or doctor on a patient. The CPT codes list in medical billing is updated as per the guidance of the American Medical Association. CPT codes … Read more
When it comes to medical billing, people who are well-versed with the topic would know that there are two genres- the PR category and the CO-category. Co 97 denial code description is represented in medical billing as “Procedure or Service Isn’t Paid for Separately or it is bundled with another procedure or services.“ The ‘CO’ … Read more
HFREF Stands for Heart failure with reduced ejection fraction, it occurs when the left side of heart doesn’t pump blood out to the body as well as normal. It is also known as systolic heart failure. We will discuss about HFREF ICD-10 code and related diagnosis codes. Symptoms: congestive heart failure systolic heart failure CHF … Read more
When it comes to Denial codes, they are the basic reason why your claim gets rejected. The phrase denial code is self explanatory and hence they are very much important to learn about. PR 31 denial code represent as patient can’t be identified as our insured. Meaning there is some issue in patient identification documents … Read more