What do medical billing and coding do?
The processes of medical billing and coding are critical to the healthcare industry, but there are still countless people who wonder what do medical billing and coding do. The job actually requires a substantial blend of medical knowledge, technical skills, and attention to detail, and it helps make sure that healthcare providers are paid accurately […]
The Importance of Proper Coding
Those who work in the medical field have a significant amount of responsibility. Not only the doctors and nurses who treat you but also the coding and billing professionals that work behind the scenes on paperwork and medical records. There are countless medical regulations and processes that go into medical coding, and it is crucial […]
Professional Claims vs. Facility Claims
Are you looking to get into the medical billing career field? Then it’s important that you know what that job will entail based on the type of facility you’re working for. There are clear differences between billing between healthcare and other industries within the medical field. The processing of medical claims across varying facility types […]
What is Prior Authorization?
Prior authorization, or PA, is a requirement for certain medications and treatments. Before you can receive the care you need, your insurance company may need to grant approval first. Sometimes the process is handled before you get to the pharmacy, while other times you may be told you have to wait for your insurance provider […]
What Is The Difference Between Deductible and Out of Pocket?
Deductible vs. out-of-pocket is a common question asked by people who are considering health insurance and even by health providers who aren’t often experienced in medical billing terms and services. The Difference Between Deductible and Out of Pocket in Health Insurance Out-of-pocket healthcare costs, also known as copayments or coinsurance, are a set amount of […]
What Do Medicare/Medicaid Contracts Look Like for Professionals
Contracting with insurance companies can be a tricky business for a healthcare provider, but it doesn’t have to be. With the right information, you can make sure that your company is not only covered but also that you are getting the best possible deal. There are many aspects to consider when contracting with insurance and […]
How to Determine Charge Amount
When it comes to making money as a healthcare provider, you’re going to need to know how much to charge for the services you provide to your patients. This is a pretty big part of your day-to-day business, so it only makes sense to be educated on how to determine charge amounts as a health […]
Should I Outsource My Medical Billing?
If you’re an administrator for a healthcare provider or operate your practice, you’ve probably asked yourself, “Should I outsource my medical billing?”, and if so, you’re not alone. In the constantly evolving field of healthcare, countless healthcare professionals grapple with this question every day. Effectively navigating the ocean of complexities of medical billing can be […]
What is Medical Billing Outsourcing?
The healthcare field has never been simple or stationary, but today’s rapidly evolving healthcare landscape is introducing numerous complexities for medical professionals of all types around the world. One of the most crucial aspects of any provider or practice is medical billing and collections, which is a domain that poses a significant challenge for many […]
What is Credentialing in Medical Billing?
Healthcare coding and billing can be incredibly complex, and understanding the intricacies can be challenging. One of these challenging aspects that many people wonder about is credentialing in medical billing. In the simplest terms, credentialing is a critical process that every medical practitioner must go through to validate their professional qualifications, and thus affirm their […]