MS-DRG: What is a Medicare Severity-Diagnosis Related Group?

Medicare severity-diagnosis-related groups, abbreviated as MS-DRGs, are categories of inpatient hospital stays. The Medicare system uses them to determine reimbursements for hospitals, skilled nursing facilities, and hospices. A hospital stay can range from one day to 100 days. The most expensive MS-DRGs have the longest average stays. These expensive hospital services may include open-heart surgery or lung … Read more

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Types of Healthcare Delivery Systems

In recent years, healthcare delivery systems have been focused on providing patients as much freedom of choice when it comes to their personal healthcare. These common types also allow for efficiency, lowered costs, and ease of use. 1. Telemedicine Although telemedicine existed before the COVID-19 pandemic, it has seen monumental growth in recent years. A … Read more

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What is PPS in Healthcare?

PPS stands for “prospective payment system” and is a classification system used by the Centers for Medicare and Medicaid Services (CMS). CMS is the government agency responsible for running both Medicare and Medicaid. A PPS is a method of reimbursement in which CMS payments to healthcare providers are made using a predetermined, fixed amount based on … Read more


What is an Ambulatory Care Pharmacy?

To know what an ambulatory care pharmacy is, we first need to know what ambulatory care is. Ambulatory care or ambulatory treatment is another word for any outpatient care. This is any medical care that happens outside of a hospital. According to the Agency for Healthcare Research and Quality, “these settings include medical offices and clinics, … Read more

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What Is Third-Party Payment in Healthcare?

The ultimate guide to navigating what can be a confusing topic in healthcare. Although it can sound daunting, almost everyone will have to work with a third-party payer when navigating healthcare costs. You’ve likely dealt with one without even realizing a third-party payment (TPP) is what it’s called. Third-Party Payment Definition In the healthcare world, … Read more

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What is a Healthcare Surrogate?

A healthcare surrogate is someone who is legally responsible for making healthcare decisions for another person when they cannot make decisions for themselves. Healthcare surrogates, also called healthcare proxies, can be either legally designated or entitled to be a healthcare surrogate because of their relationship to the patient. Most people wanting to learn more about healthcare surrogates … Read more

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What is FACETS in Healthcare?

Have you heard the term ‘FACETS’ in a healthcare setting and wondered what it is? FACETS is a core administration solution for health plans, developed by TriZetto®. It automates common healthcare administrative tasks, including claims processing, billing, care management, and network management workflow. FACETS was born out of the necessity for a solution that allowed … Read more

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Who Accepts UnitedHealthcare Vision?

UnitedHealthcare offers vision insurance that helps you cover and plan for vision care expenses. While considering UnitedHealthcare (UHC) vision insurance, you’ll want to know who will accept their insurance. To find out who accepts UnitedHealthcare vision in your area, use the Provider Search from UHC Vision. Once you’ve entered your zip code (or city) in … Read more

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How to Upload Documents to

When registering for health coverage on, the Marketplace may ask you to upload some documents for verification purposes. These verification documents may include: estimate of yearly income, citizenship, immigration status, adoption and other issues. You’ll notice that the portal includes a list of acceptable documents to fulfill their requirements. You’ll need to gather these … Read more