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COVID-19 PHE Waivers Expected to End on May 11, 2023
The COVID-19 pandemic has had a profound impact on the world, leading to widespread illness and death, as well as economic disruption. In response...
Federal IDR, Why Payment Disputes Backlog is Growing?
The Federal Independent Dispute Resolution (IDR) process for providers is a complaint resolution system established by the Centers for Medicare & Medicaid Services (CMS)...
Top 10 Medical Billing Companies in California
An efficient medical billing and coding process is essential for getting an enhanced revenue cycle. Additionally, it is a fairly challenging task to make...
Cheapest Health Insurance Plans in Texas
Health insurance is a type of insurance coverage that pays for medical and surgical expenses incurred by the insured. It is designed to provide...
Claim Denied for CO-163 Primary EOB is Required
Denial Code CO-163: Attachment referenced on the claim was not received
Many people have access to health care coverage through a primary insurance and a...
Updated List of CPT and HCPCS Modifiers for 2022
Modifier – as the name suggest a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbursement. Modifiers...
No Surprises Act (NSA) and TDI IDR/Mediation
The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services,...
Qualifying Payment Amount (QPA), How QPA is Calculated?
The qualifying payment amount (QPA) is the basis for determining individual cost sharing for items and services covered by the balance-billing protections in the...
NSA and Balance Billing Laws by State
No Surprises Act (NSA) established new federal protections against surprise medical bills and balance billing, which took effect on 1st Jan, 2022.
State-regulated insurance plan...
