Why Consider Provider Credentialing Services?

Why Consider Provider Credentialing Services?

What is meant by provider credentialing? Medical credentialing services often entail gathering data about a physician’s qualifications and work experience via a formal proposal that is cross-checked against credible sources such as the National Practitioner Data...
How is clean claim rate calculated?

How is clean claim rate calculated?

Everything About Clean Claim Rate for Any Hospital  Being in an IT department of a hospital, you might have come across a terminology of “clean claim rate”. But what is a clean claim rate? It is a rate at which clean and successful insurance claims have been processed...
What is a Clearinghouse in Healthcare?

What is a Clearinghouse in Healthcare?

In medical billing, clearinghouses play a vital role in increasing efficiency. They act as a middleman between the healthcare provider and the insurance payer. A healthcare provider can be a doctor, dentist, or any other physician. Clearinghouses are responsible for...
What is a modifier in medical billing?

What is a modifier in medical billing?

Medical Billing: There is an old medical saying, that “If it is not documented, it is not done”. This is why in medical billing proper documentation leads to no denials. There should be proper evidence and documentation in the patient’s medical files. When we talk...

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