MaxCareMB

03/06/2025

21/05/2025

Before you start submitting claims to insurance companies, the most important thing is to ensure complete and accurate verification of patient insurance eligibility and benefits.

1-Active Coverage: Confirm that the patient’s insurance is active on the date of service.
2-Plan Type & Coverage: Identify what services are covered (e.g., behavioral health, physical therapy, etc.).
3-In-Network vs. Out-of-Network: Check if the provider is in-network. If out-of-network, verify coverage and patient cost responsibility.
4-Authorization Requirements: Confirm whether prior authorization or referral is needed.
5-Copay, Coinsurance, Deductible: Understand patient responsibility to inform billing and collections.
6-Policy Limitations & Exclusions: Note any visit limits, excluded services, or frequency caps.
7-Billing Information Accuracy: Ensure that patient demographics, insurance ID, and group numbers are correctly entered.

Why This Is Critical:
1-Prevents claim denials and delays
2-Reduces rework and resubmissions
3-Ensures clean claim submission
4-Enhances cash flow and patient satisfaction

Call now to connect with business.

19/02/2025

Medical billing challenges shouldn’t hold your practice back. MaxCareMB specializes in efficient revenue cycle management (RCM) to ensure faster reimbursements, fewer denials, and improved cash flow

25/12/2024

✨ What a Night to Remember! ✨

MaxCare MB’s annual dinner was a beautiful celebration of our collective hard work, achievements, and the amazing bond that makes us more than just a team—we're family.

Thank you to everyone who has been part of our journey. Here’s to more success and memorable moments together! 💙

13/08/2024

Celebrating Pakistan’s Independence Day with Maxcare MB

13/05/2024

We are hiring experienced medical billers for internal medicine practice. Interested candidates can share resumes at info@maxcaremb.com.

10/05/2024

Join us in our mission to streamline the medical billing process and support healthcare providers in delivering quality care to their patients. Apply now to become a valued member of the MexCare MB team!"

29/02/2024

Difference Between Outpatient Coding and Inpatient Coding:

Outpatient coding and inpatient coding are two distinct processes in medical coding, each associated with different types of healthcare services. Here are the key differences between outpatient coding and inpatient coding:
Setting of Care:
Outpatient Coding: In outpatient coding, the patient receives medical services without being admitted to the hospital for an overnight stay. This includes services such as clinic visits, emergency room visits, diagnostic tests, and minor surgical procedures that do not require an overnight stay.
Inpatient Coding: In inpatient coding, the patient is admitted to the hospital for an overnight stay. This includes more complex medical procedures, surgeries, and treatments that require an extended period of care and monitoring within the hospital.
Coding Guidelines:
Outpatient Coding: Outpatient coding typically follows the Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) Level II codes. These codes are used to describe the procedures and services provided during outpatient visits.
Inpatient Coding: Inpatient coding primarily uses the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes for diagnoses and the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) codes for inpatient procedures. These codes provide detailed information about the patient's condition and the procedures performed during the inpatient stay.
Coding Emphasis:
Outpatient Coding: Emphasizes procedures, services, and tests performed during the outpatient visit. The focus is on capturing the specific services provided and their associated codes.
Inpatient Coding: Emphasizes the patient's overall condition, the severity of illness, and the resources utilized during the inpatient stay. Inpatient coding requires a more detailed and comprehensive understanding of the patient's medical record.
Duration of Care:
Outpatient Coding: Typically involves relatively short-term and less complex medical encounters that do not require an overnight stay.
Inpatient Coding: Involves longer-term care, often requiring hospitalization, and deals with more complex medical conditions and procedures.
Reimbursement Models:
Outpatient Coding: Reimbursement is often based on specific procedures and services provided during the outpatient visit, and it may be associated with ambulatory payment classifications (APCs) or other outpatient payment systems.
Inpatient Coding: Reimbursement for inpatient services is usually based on the diagnosis-related group (DRG) system, which takes into account the patient's diagnosis, procedures performed, and severity of illness.

15/02/2024

We are hiring fresh graduates, this is an onsite job only for male.
Please share your resume at info@maxcaremb.com