What is a Super Bill ? A super bill is a detailed invoice that healthcare providers give to patients after rendering medical services. It plays a vital role in medical billing, particularly for out-of-network providers who rely on it to…
Denied Claims in Medical Billing BLOG OUTLINE Overview of Denied Claims in Medical Billing Claim Adjustment Group Code (CAGR) Remittance Advice Remark Code (RARC) Common Reasons for Denied Claims Impact of Denied Claims on Healthcare Providers Strategies to Prevent Denied…
A DETAILED GUIDE ON what is a Modifier in medical billing BLOG OUTLINE Understanding Medical Billing Modifiers Importance of Modifiers in Medical Billing Commonly Used Modifiers in Medical Billing Guidelines for Proper Modifier Usage Impact of Modifiers on Reimbursement Best…
What is an EOB (EXPLANATION OF BENEFITS) in Medical Billing? When a healthcare provider submits a claim to an insurance company, the response they receive comes in the form of an Explanation of Benefits (EOB). But what exactly is an EOB…
Guide to MEDICAL Credentialing Services IN HEALTHCARE INDUSTRY What Does MEDICAL Credentialing Mean IN HEALTHCARE? Credentialing in healthcare is the process of verifying the qualifications, experience, and professional history of a medical provider. It ensures that physicians, nurses, and other…
What is a Clean Claim in Medical Billing ? Imagine submitting an insurance claim and getting paid on time, without any back-and-forth. That’s exactly what a clean claim in medical billing achieves! A clean claim is error-free, complete, and meets all payer requirements, ensuring…
MORE REVENUE WITH THE RIGHT MEDICAL BILLING COMPANY Healthcare providers are often found struggling with with revenue optimization because of the fact that medical practice’s are still not sure whether they should continue with the inhouse billing staff or outsource medical…
The Essentials OF Medical Billing and Coding IN Modernized Healthcare Revenue Cycle Management In the healthcare industry, the secretarial work of medical billing, administration and coding is the prerequisite on which revenue cycle management (RCM) depends. This vast process comprises…
What is POS 11 in Medical Billing? A Complete Guide A quick overview of Place of Service POS 11 in medical billing, impact of POS 11 Code on clean claims, reimbursements and denials Navigating medical billing codes can be overwhelming—even…
Mastering Medical Billing to Increase Revenue Collection and Achieve Financial Success Whether you are a healthcare provider or a medical billing professional, understanding the details of the billing and collections process is essential for maintaining a healthy revenue cycle. With ever-changing regulations and evolving…
