Revenue Cycle Management

the category contains blogs about revenue cycle management helping healthcare providers to easily manage their revenue and avoid losing it.

Revenue Code 0120 is Used For Room and Board Charges (Semi-Private)

revenue code 0120 used for board and room charges semi private two beds

One code that frequently confuses billing staff is revenue code 0120. Revenue code 0120 is used by the hospital for the room and board fees related to the patients staying in semi-private accommodations. The semi-private room has two beds and is shared by two patients. This classification reveals important details about the patient’s type of […]

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Revenue Code 0115 Use for Hospice Private Room and Board Charges

revenue code 0115 is used for hospice care private room and board charges

Revenue code 0115 is an institutional charge code on the UB-04 (CMS-1450) claim form for private (one-bed) hospice patients’ daily room-and-board.  Revenue codes are assigned by the National Uniform Billing Committee (NUBC) and used by Medicare in its processing guides. All 0110–0119 codes are “Room & Board – Private (1 bed)”.  In this series, revenue

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What Is Revenue Code 0450: A Complete Guide for Orthopedic Medical Practices

revenue code 0450

Revenue code 0450 may look simple, but it drives how hospitals and clinics get paid for emergency room services. If your orthopedic practice handles trauma or urgent care, knowing this code well saves money and stress.  Here is a complete guide to understand proper use of RC 0450, and add some more amount to your

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What Is Revenue Code 0510 and Why It Matters for Outpatient Billing

revenue code 0510

Revenue Code 0510 is a medical billing code used when a patient receives basic care at a hospital-owned outpatient clinic. This code specifically applies to the facility charges including the use of the exam room, nursing services, clinic staff, medical supplies, and utilities. It does not cover physician services. Those are billed separately using CPT

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Revenue Code 0420: A Complete Guide for Orthopedic Medical Billing

revenue code 0420 is used for reporting that physical therapy services was provided in therapy room

Revenue code 0420 relates to Physical Therapy Services. Think of it as the hospital or facility telling the insurer, “We gave this patient physical therapy in our department.” For orthopedic patients, PT is a big deal, almost every hip, knee, or spine surgery needs it for recovery. If you skip or misuse this code, the

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What Is Revenue Code 0360: A Complete Guide for Orthopedic Medical Billing

revenue code 0360 is used for adding detail to the medical claim that where the services was provided in operating room.

Revenue Code 0360. Looks like a small digit. This little four-digit number plays a huge role in getting paid for surgeries and big procedures. If you mess it up, insurers deny claims, and payments vanish. If you nail it, money flows smoother than a new hip joint. In this guide, I’ll walk you through everything

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How to Negotiate Reimbursement Rates with Insurance Providers

how to negotiate reimbursement rates with payers

“Money keeps healthcare running. But not all dollars flow smoothly into a provider’s pocket.” Yearly, the inflation rate is increasing by almost 6% according to 2025 new report. Similarly, your healthcare expenses are increasing with that inflation rate. But, your Medicare and private payers’ reimbursement is the same. It is clearly a lose-lose. The solution

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