Date of Service vs. Post Date Reports
In medical billing, reports are a key part of understanding both patient care and financial activity. Two commonly confused types—Date of Service (DOS) reports and Post Date reports—serve very different purposes. DOS reports track when care was provided, while Post Date reports track when charges, payments, or adjustments were entered. Knowing the difference ensures accurate analysis, cleaner reconciliations, and better decision-making for both providers and billing staff.
Out of Pocket Maximum
When it comes to family health insurance, understanding out-of-pocket maximums can get tricky. Does it matter if the individual or family maximum is met first? Absolutely. The order can impact both what patients pay and what providers should collect. Once either maximum is reached, no additional copays, coinsurance, or deductible amounts should be charged for that member—or for the entire family if the family maximum is met. This guide explains how the two limits work together and why it’s important for both patients and billing staff to keep track.
Highmark of NENY Physical Therapy Auth Requirement to Begin
New Physical Therapy Prior Auth Requirements to start April 1, 2024
AIM changed to Carelon
In March 2023, AIM Specialty Health®* will transition to Carelon Medical Benefits Management Inc. This transition is a name change only, and there will be no process changes. The new name will not impact the way AIM works with health plans and providers. In March, any operational assets that mention AIM Specialty Health (such as determination letters) will adopt the new Carelon Medical Benefits Management Inc. name.
Physical, Occupational and Speech and Language Pathology Therapy Services: Prevent Easily Avoidable Errors Evaluation / Plan of Care Documentation Elements
Tips and tricks directly from NGSMedicare on how to appropriately document medical records.
