USA Healthcare Vs Universal Healthcare

Medicinal services frameworks around the globe are regularly judged by three criteria:




The American medicinal services framework does inadequately against the initial two and against the third relying upon who you ask and what you are estimating.

Access is fine on the off chance that you are utilized and get human services through your manager or you can generally bear the cost of it. From a cost point of view, America has the most costly human services framework on the planet per capita, strikingly, still has more than 28 million individuals without protection, a number anticipated that would become throughout the following couple of years. The nature of the American human services framework flops on many measures of essential wellbeing results, for example, mortality, baby mortality, precaution solution, and so forth. Some real reactions of some of these measures are offered by safeguards of the American framework. It is likely that American disappointment on a considerable lot of these measures is inconsequential to the nature of medicinal services.

Contentions made with regards to the American framework are normally measures identified with: Continue reading “USA Healthcare Vs Universal Healthcare”

“Obama Care”-Patient Protection and Affordable Care Act

Obama Care- effects and benefits

In 2010 the president of America, Barack Obama has signed a new Healthcare bill for the people. It is nothing but ‘Obama Care’ which is a plan for Healthcare reforms in the United States of America. It is officially named as the Patient Protection and Affordable Care Act 2010 and is even known as ‘Obama Care’. This new effort has completely focused on providing better standards of Health Insurance and also to help the insurance industries, to improve the Americans Health Care rights. The main motto behind the President Obama care bill is to provide efficient Healthcare system, thereby providing Health Insurance Exchanges. The citizens are also provided with an opportunity to shop for insurance through online at best rates. However, the individuals can also receive cost assessment through the exchange in order to provide affordable insurance services for all the Americans.
Obama Care Bill Benefits Continue reading ““Obama Care”-Patient Protection and Affordable Care Act”

Medicaid-The Shadow of poor-Eligibility and benefits


The Center for Medicaid and CHIP Services (CMCS) is one of six centers within the Centers for Medicare & Medicaid Services. CMCS serves as the focal point for all national program policies and operations related to Medicaid and Children health. Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements.  The program is funded jointly by states and the federal government.

As per Affordable Care Act of USA, Medicaid is provided to poorest Americans, for states to provide Medicaid eligibility, effective January 1, 2014, for individuals under 65 years of age with incomes up to 133% of the federal poverty level (FPL). For the first time, states can provide Medicaid coverage for low-income adults without children and be guaranteed coverage through Medicaid in every state without the need for a waiver. Continue reading “Medicaid-The Shadow of poor-Eligibility and benefits”

Yoga- The Introduction


Introduction of Yoga–  Yoga is the art of Human advancement. It is a general advancement of physical, mental, and passionate. Yoga relies upon specific procedures and techniques that would empower man to have union with Self (the awesome).

Yoga word has landed from the Sanskrit word yuj, Yoga means a union of the individual awareness or soul with the Universal Consciousness or Spirit. The greater part of the general population thinks yoga is just as a physical exercise where individuals contort, turn, extend, and take in the most complex ways, these are in reality just the most shallow part of this significant investigation of unfurling the vast possibilities of the human personality and soul. The art of Yoga soaks up the total embodiment of the Way of Life.

According to master, Shree Shree Ravishankar “Yoga isn’t simply exercise and asanas. It is the passionate mix and otherworldly rise with a touch of a spiritualist component, which gives you a look at something past all creative ability.” Continue reading “Yoga- The Introduction”

Medicare- Benefits and Eligibility


Medicare is a one of major insurance in USA Healthcare segment. In the United States of America, Medicare is a single-payer national social insurance health program administered by the American Federal Govt. since 1966. Medicare is administered by Center for Medicare and Medicaid Services(Formerly known as Healthcare Financing Administration-HCFA) of the U.S. Department of health and human services. Medicare and Medicaid are the two government-sponsored medical insurance schemes in the USA. Medicare is further divided into parts 1-A and 2-B – Medicare Part A covers hospital and hospice services and  Part B covers outpatient services. Part D covers self-administered prescription drugs. Part C is alternative to the other parts intended to allow with differently structured plans in an effort to reduce costs to government and allow patients to choose plans with more benefits. Continue reading “Medicare- Benefits and Eligibility”

UB04 Claim Form or CMS-1450 Form

Claim form UB-04 is one of the very important claim forms required to be filled up by medical service providers for reimbursement of medical expenses. It is also known as CMS-1450 Form. Facilities like hospitals, rehabilitation centers, ambulatory surgery centers, clinics, etc need to bill their rendering services on the claim form UB04 in order to get paid. Individual medical providers like physicians are required to fill up claim form CMS1500.
Often medical providers get confused between the two forms claim form 1500 and claim form UB-04. It is very important to have a clear-cut understanding as regards the two forms. If a wrong form is filled up, the insurance carrier will straightway reject the claim. Continue reading “UB04 Claim Form or CMS-1450 Form”

HCFA 1500 Form

In USA Healthcare or Medical Billing, we used to HCFA 1500 form for submitting professional claim on paper.

The CMS-1500 form is developed and maintained by the National Uniform Claim Committee (NUCC).

The CMS-1500 form is the standard paper claim form used by providers or suppliers to bill Medicare Fee-For-Service (FFS) contractors. Providers may only use this form if they have received an exception from the Administrative Simplification Compliance Act (ASCA). The ASCA requires that Medicare claims be sent electronically unless a provider qualifies for an exception waiver. To see in HCFA form on Amazon please click on below link- Continue reading “HCFA 1500 Form”

Modifiers Level 2 in USA healthcare

Level II  Modifiers– Normally known as HCPCS Modifiers and consists of two digits (Alpha / Alphanumeric characters) in the sequence AA through VP. These modifiers are annually updated by CMS – Centres for Medicare and Medicaid Services.

List of Level II Modifiers:

AA- Anesthesia services personally performed by anesthesiologist.

AD- Medical supervision by a physician: More than 4 concurrent anesthesia procedures.

AE- Registered Dietician

AF- Specialty Physician
AG -Primary Physician

AH- Clinical Psychologist

AI- Principal Physician of Record

AJ- Clinical Social Worker

AK- Non Participating Physician

AM- Physician, team member service

AP- Determination of refractive state was not performed in the course of diagnostic ophthalmological examination. Continue reading “Modifiers Level 2 in USA healthcare”

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Modifiers in USA healthcare

Modifiers-A modifier is a code that provides the means by which the reporting physician can indicate that a service or procedure that has been performed has been altered by some specific circumstance but has not changed in its definition or code.

A service or procedure can be further described by using 2-digit modifiers. the modifier Reference Guide lists Level I (CPT-4), Level II (non-CPT-4 alphanumeric), and Level III (local) modifiers. Level I and II modifier definitions are contained in the Healthcare Common Procedure Coding System (HCPCS). LevelIII modifiers are defined by the Fiscal Intermediary and may be added only to prior Centers for Medicare & Medicaid Services (CMS) approval. Modifiers can be used interchangeably with any code level. Continue reading “Modifiers in USA healthcare”