Legion Healthcare Solutions specializes in medical billing and revenue cycle management services for pain management practices.
The National Committee for Quality Assurance (NCQA) provider credentialing standards are a set of guidelines that insurance companies must follow to ensure […]
The Medicare GY modifier is used to indicate that a service or item is statutorily excluded or does not meet the definition of any Medicare benefit.
Prior authorization is a process that healthcare providers must go through before prescribing certain medications or treatments. This process involves obtaining approval from a patient’s insurance company before the medication or treatment can be prescribed.
The Centers for Medicare and Medicaid Services (CMS) publishes guidelines for the AWV on an annual basis, and it’s important for primary care providers to stay up to date on the latest guidelines to ensure that they are properly documenting and billing for the AWV
UnitedHealthcare is one of the largest health insurance providers in the United States, with millions of members enrolled in their plans. Being a part of their network can help you expand your patient base and increase your revenue.
Wound care providers face unique challenges when it comes to medical billing. Proper coding and documentation are crucial to ensure that claims are processed accurately and efficiently.
As a healthcare provider, you know that prior authorization for prescription is a critical step to ensure that patients receive appropriate medications.
Provider credentialing is the process of verifying the qualifications, education, and training of healthcare providers, including physicians, nurses, and other allied health professionals, to ensure they meet the standards set forth by insurance companies.