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Hospital Billing & Insurance Terms Value Healthcare Services

WebHCFA/CMS 1500 — The billing form used by doctors to file insurance claims for medical services. HCPCS codes – HCFA Common Procedural Coding System — The coding …

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URL: http://valuehealthcareservices.com/education/hospital-billing-insurance-terms/

Understanding Hospital Revenue Codes Value Healthcare Services

Web604 Oxygen-Portable Add-on. 61x Magnetic Resonance Imaging (MRI) 610 General. 611 Brain (including brain stem) 612 Spinal Cord (including spine) 619 Other MRI. 62x …

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Contractual Adjustment: A Hospital Billing Term

WebThe contracted rate between the insurance company and the provider for this service is $80, with the insurer paying $64, or 80%, and the remaining 20% of the contracted rate …

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What is Uncompensated Care

WebIn short, the term refers to patients who are unable or unwilling to pay for health care services. Uncompensated care is comprised of both charity care and bad debt. The …

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What Does APC Stand For

WebAPC stands for Medicare’s Ambulatory Payment Classification, the coding system that hospitals use to bill the federal government for services provide to Medicare and …

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Monroe Hospital Sold to Prime Healthcare Services

WebIn its aim to establish a large network of efficiently run hospitals, Prime Healthcare Services has bought the Monroe Hospital of Bloomington, Indiana. Only several months after …

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Medical bankruptcy: Fact or fiction

WebBy Sally C. Pipes, president, Pacific Research Institute – 10/23/12 11:30 AM ET. This year, a whopping 1.25 million Americans are expected to file for bankruptcy.

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What is a Diagnosis-Related Group (DRG)

WebMedicare’s Cost-Saving Plan for Hospitals. A Diagnosis-Related Group, abbreviated as DRG, is a system of classifying a patient’s hospital stay into various groups in order to …

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Video Library Value Healthcare Services

WebCASE STUDY “Over 80% of all Consumer Bankruptcies filed in the US are a result of Medical Bills.” For many Healthcare facilities nationwide, patient bankruptcies are …

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What is a Medicare Severity-Diagnosis Related Group (MS-DRG)

WebA Medicare Severity-Diagnosis Related Group (MS-DRG) is a system of classifying a Medicare patient’s hospital stay into various groups in order to facilitate payment of …

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Palm Drive Hospital Closes in Bankruptcy Value Healthcare Services

WebSonoma Residents Lose Fight for Hospital. Palm Drive Hospital officially closed Monday, April 28, 2014 after negotiations with the Palm Drive Health Care District failed to reach …

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Hospitals that Filed for Bankruptcy in 2015

WebWith increased pricing in medical care, and shrinking available health networks under Obamacare, 2015 is already seeing its fair share of hospital bankruptcies. With patients …

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Birthday Rule: What does this insurance term mean

WebBasics of The Birthday Rule. The primary insurance for a child is the same as the parent with the earliest birthday on the calendar. A birthday is defined solely as the month and …

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Daughters of Charity May File for Bankruptcy

WebAfter negotiations with Prime Healthcare Services collapsed, Daughters of Charity Health Systems is one step closer to filing for bankruptcy. For several weeks, Daughters of …

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CW Williams Health Center Files For Bankruptcy

WebAfter months of cutting back numbers of personnel, and the start of legal action by creditors, the C.W. Williams Health Care Center in Charlotte, North Carolina, filed for Chapter 11 …

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North Adams Hospital Files for Bankruptcy Value Healthcare …

WebNorth Adams Regional Hospital filed for Chapter 11 bankruptcy in 2011, emerging with a court-approved reorganization plan in 2012. According to a filed report, some debtors …

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Sound Shore Health System Files for Bankruptcy Value …

WebTo be Acquired by Montefiore Medical Center. Another two New York hospitals have filed for bankruptcy protection. Sound Shore Health System filed for Chapter 11 bankruptcy on …

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Hospitals That Closed in 2014 Value Healthcare Services

WebTougher financial situations and more privatization of hospitals by government bodies have caused a siginificant amount of hospitals to close in 2014. With more patients declaring …

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Monroe Hospital Files Chapter 11 Bankruptcy

WebDebt between $100 million – $500 million. Monroe Hospital, based in Bloomington, Indiana, has filed Chapter 11 bankruptcy citing assets at between $10 million and $50 million and …

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