medical billing

Update on Surprise Medical Billing

In the newest update on the road to preventing surprise medical billing, the current Administration has issued what is known as “Requirements Related to Surprised Billing; Part 1”. As we mentioned in an earlier post, surprise medical billing happens when patients unknowingly receive out-of-network services which result in unexpected bills. The [...]

Why Is A/R Follow Up So Important?

Once you submit a claim, what happens next? In the Revenue Management Cycle, after submitting a claim, it goes to the insurance payor, or a clearinghouse in some cases, and get processed. Once insurance receives the claim, they may take 30-45 days to process it. The time it takes for insurance [...]

What Are CPT Codes?

Last week we provided an overview of what ICD-10 codes are. This week we will talk about CPT codes. CPT, or Current Procedural Terminology codes, are used to identify procedures performed by physicians and healthcare providers. Developed in 1966 by the American Medical Association (AMA), these codes are used by healthcare [...]

What Are ICD-10 Codes?

ICD. Three letters that you may have encountered in medical coding and billing. What exactly does it mean and what do you need to know about it for your practice? This blog post is dedicated to answering these questions. ICD stands for International Classification of Diseases. According to the World Health [...]

Benefits of Medical Credentialing

What is Credentialing? Credentialing is ultimately the process of collecting and verifying medical professionals’ qualifications. It is a compilation of evidence of a physician’s license, education, experience, etc. This process is a way for others to assess that the medical provider is indeed competent. One party that needs to verify a [...]

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