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  • Posts tagged "Medicaid Billing"

Posts tagged "Medicaid Billing"

Group NPI or Individual NPI: Which Fits Your Practice?

December 26, 2025 / admin / Articles, CMS-1500, Group NPI, Individual NPI, Locum Tenens, Medicaid, Medicaid Billing, Medicare, Medicare Billing, National Provider Identifier, NPI, NPI Number, NPPES, Private Insurance, Provider NPI, PTAN
White Male Doctor Talking to a Female Hispanic Woman

Small details can make or break your revenue cycle. One of the most common areas where practices struggle is deciding whether to bill under a Group NPI or an Individual NPI. Getting this wrong doesn’t just delay payments. It can trigger claim denials, compliance issues, and audit flags that hurt your bottom line. The National […]

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CMS-1500, Group NPI, Individual NPI, Medicaid, Medicaid Billing, Medicare, Medicare Billing, National Provider Identifier, NPI, NPPES, Private Insurance, Provider NPI, PTAN

What Does Medicare Cover for Home Healthcare?

February 9, 2022 / admin / Articles, Billing, Billing Revenue, Healthcare, Healthcare Billing, Healthcare Outcomes, Medicaid, Medical Billing, Medical Claims, Medical Providers, Medicare, Occupational Therapy, Physical Therapy, Speech Therapy
Home Healthcare Service (Medicare)

Home Health Services + Medicare What does Medicare Cover for Home Healthcare? If you’re looking for an answer to the question, “What does Medicare cover for home healthcare?”, you’ve probably typed it into a search engine and immediately closed the tab. The amount of information and the level of detail can quickly become confusing and […]

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Healthcare, Healthcare Services, Home Health Care, Home Health Services, Home Healthcare, Medicaid, Medicaid Billing, Medicaid Coverage, Medicare, Medicare Billing, Medicare Coverage

Common Cases of Medicare, Medicaid Fraud

December 8, 2021 / admin / Articles, False Claims Act, Fraud, Medicaid, Medicaid Fraud, Medicaid Fraud Examples, Medicare, Medicare Fraud, Medicare Fraud Examples, Phantom Billing, Unbundling, Upcoding
Medicare Fraud

Medicare, Medicaid Fraud Examples and Steps to Ensure You Don’t Commit It *These are examples of fraud as it relates to Medicare and Medicaid. Medical fraud is the intentional deception or misrepresentation of healthcare transactions by the provider for the sake of receiving unauthorized benefits or financial gain. Healthcare fraud is committed when a dishonest […]

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Billing Fraud, False Claims Act, Fraud, Medicaid, Medicaid Billing, Medicaid Fraud, Medicaid Fraud Examples, Medical Billing Fraud, Medicare, Medicare Billing, Medicare Fraud, Medicare Fraud Examples, Upcoding

Recent Posts

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Home Health
  • Urgent Care
  • Radiology
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Orthopedic & Rheumatology
  • Genetic Testing
  • Geriatric Medicine
  • Pharmacogenetic (PGx)
  • Fertility Preservation
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics & Specialty Drugs
  • Telestroke & Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Home Health
  • Urgent Care
  • Radiology
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Orthopedic & Rheumatology
  • Genetic Testing
  • Geriatric Medicine
  • Pharmacogenetic (PGx)
  • Fertility Preservation
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics & Specialty Drugs
  • Telestroke & Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • Medical Billing Modifier Errors - Black Male Billing Expert

    Are Modifier Errors Driving Up Claim Denials?

  • CAQH Credentialing Expert at Machine, White Woman

    CAQH Work History Mistakes: How to Handle Employment Gaps

  • FAQ: Provider Credentialing Speed and Process

    FAQ: Provider Credentialing Speed and Process

  • MRI, Radiology Medical Billing, Credentialing

    Which CPT Codes are Used in Radiology Billing?

  • CAQH Profile Current -- Two Doctors

    Common CAQH Application Mistakes

  • Telehealth Credentialing: Pretty, Black Female Credentialer

    Case Study: A Six-State Telehealth Credentialing Challenge

  • Doctors Adopting Value-Based Care

    How Value-Based Care Reimbursement Works for Clinics and Hospitals

  • White Male Medical Doctor Looking at Healthcare Regulatory Updates

    Regulatory Deep Dives: Managing Healthcare Policy Changes

  • Female Medical Doctor PECOS User

    What is PECOS and its 7 Key Benefits?

  • In-House vs. Outsourced Credentialing. Two scenarios.

    Cost-Benefit Analysis: In-House vs. Outsourced Credentialing

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