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Billing

How to Verify Insurance Eligibility and Benefits Like a Pro

August 23, 2023 / Alex J. Lau / Billing, Billing Best Practice, Billing Revenue, Healthcare Billing, Healthcare Revenue, Insurance Eligibility, Medical Billing, Medical Billing Best Practices, Medical Billing Service, Verify Insurance, Verify Insurance Eligibility
Insurance Eligibility Verification

Verifying a patient’s insurance eligibility and benefits is a critical first step in the medical billing process. Doing it thoroughly and accurately helps prevent claim denials and delays in payment down the road. We reveal proven techniques to verify eligibility and benefits like a seasoned medical billing pro. Insurance Eligibility Verifying insurance eligibility is crucial in […]

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Benefits Verification, Eligibility, Healthcare, Healthcare Billing, Insurance Eligibility, Medical Billing, Medical Billing Service, Medical Billing Strategy, Outsource Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, Outsourced Verification, Revenue Cycle Management, Revenue Cycle Optimization, Smarter Verification, Verify Eligibility, Verify Insurance Eligibility

Billing for Treatment of New COVID-19 Variants (EG.5, FL.1.5.1 and BA.2.86)

August 22, 2023 / Alex J. Lau / BA.2.86, Billing, Billing AI, Billing Services, Coronavirus, Coronavirus Testing Billing, COVID, COVID Testing Billing, COVID-19, COVID-19 Billing, COVID-19 variants, EG.5, FL.1.5.1, Quevir ZD584, SARS-CoV-2, U18.3, U18.4, U18.5
CPT Covid-19 Billing

The COVID-19 pandemic has persisted due to the continued emergence of new SARS-CoV-2 variants. As the novel coronavirus has spread globally, mutations in the viral genome have given rise to distinct new strains that present evolving challenges. Variants like Omicron and its sublineages have demonstrated a higher transmissibility and ability to evade immunity compared to […]

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BA.2.86, BAC886, Corona billing, Corona variants, Corona Virus, Corona virus billing, Coronavirus, COVID, COVID billing, COVID-19, COVID-19 variants, EG.5, FL.1.5.1, GXX11, GXX12, Quevir ZD584, SARS-CoV-2, U18.3, U18.4, U18.5

Medical Billing KPIs and Metrics Every Practice Should Track

August 22, 2023 / Alex J. Lau / Billing, Billing Best Practice, Healthcare, Healthcare Billing, KPI, KPIs, Measuring Healthcare Outcomes, Medical, Medical Billing, Medical Billing KPIs
Medical Billing Credentialing Team

How do you know your medical billing operation is performing optimally? Key performance indicators (KPIs) and metrics provide the critical insights. Regularly tracking the right quantitative measures allows you to gain visibility into what’s working, uncover issues early, and identify areas for improvement. We reveal essential medical billing KPIs and metrics every practice should monitor. […]

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Healthcare, Healthcare Billing, Healthcare KPIs, KPI, KPIs, Medical, Medical Billing, Medical Billing KPIs, Medical Billing Service, Medical KPIs, Revenue Cycle Management

AR Recovery: Unlocking the Path to Financial Health

August 17, 2023 / Alex J. Lau / Accounts Receivable, AR Recovery, Billing, Healthcare, Healthcare Billing, Healthcare Revenue
Medical Owner White Businessman

In the complex landscape of medical billing, the term “AR Recovery” holds significant importance. This article will delve into the depths of AR Recovery, shedding light on its significance, process, and benefits. Whether you’re a healthcare provider, a patient, or simply curious about medical billing intricacies, this guide will provide you with valuable insights. AR […]

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A/R Recovery, Accounts Receivable, Accounts Receivable Recovery, AR Medical Billing, AR Recovery, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle Management, Revenue Cycle Optimization

Which CPT Codes are Used in Intensivist Billing?

August 4, 2023 / Alex J. Lau / Biling Codes, Billing, Billing Automation, Billing Services, Claim Billing, Critical Care Services, FAQs, Healthcare, Healthcare Billing, HL7, ICD-10, Intensivist, Intensivist Billing, Medical Billing
White Female Medical Billing Outsourced

Navigating the complex world of medical billing requires a deep understanding of Current Procedural Terminology (CPT) codes. For intensivists, accurate coding is crucial to ensure proper reimbursement for the critical care services they provide. We’ll jump into the realm of intensivist billing and explore the key CPT codes that play a pivotal role. Whether you’re […]

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Arterial Line Insertion, Central Venous Catheterization, Chest X-rays, Complex Chronic Care Coordination, Critical Care Services, Electrocardiogram, End-of-Life Care, Extensive Care Plan Oversight, Healthcare, Healthcare Billing, Hemodynamic Monitoring, Informed Consent, Intensivist, Intensivist Billing, Mechanical Ventilation Management, Medical, Medical Billing, Medical Billing Service, Medical Team Conferences, Revenue Cycle Management, Telemedicine Services, Ultrasound Guidance, Wound Care

Which CPT Codes are Used in Hospitalist Billing?

August 2, 2023 / Alex J. Lau / Billing, Billing Revenue, Billing Services, Claim Billing, Claim Data, Claim Denials, CPT Codes, Denial Management, Denied Claims, Denied Medical Claims, Healthcare, Healthcare Billing, HL7, Hospitalist, Hospitalist Billing, Hospitalist Medicine, ICD-10, Medical, Medical Billing
Medical Billing Software White Male User

In the realm of medical billing and coding, precision and accuracy are paramount. Hospitalist billing, a specialized area, relies on specific CPT (Current Procedural Terminology) codes to ensure proper reimbursement for services rendered. These codes serve as a universal language that communicates medical procedures and services to insurance companies. In this comprehensive guide, we’ll delve […]

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CPT codes, CPT Codes in Hospitalist Billing, Healthcare, Healthcare Billing, Hospitalist, Hospitalist Billing, Hospitalist Medical Billing, ICD-10, Medical, Medical Billing, Medical Billing Service

The Importance of Robotic Process Automation in Medical Billing

June 26, 2023 / Alex J. Lau / Automation, Billing, Billing Automation, Billing Best Practice, Billing Revenue, Billing RPA, Billing Services, Healthcare, HIPAA, HIPAA Compliant, HL7, Medical, Medical Billing, Medical Billing AI, Medical Billing Automation, Robotic Process Automation, RPA
robotic-process-automation-RPA-example-code

In today’s fast-paced world, the healthcare industry faces numerous challenges when it comes to managing medical billing processes efficiently. With the increasing complexity of healthcare systems and the constant changes in regulations, there is a growing need for automation to streamline and optimize medical billing operations. Robotic Process Automation (RPA) has emerged as a game-changing […]

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Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Robotic Process Automation, Medical Billing Service, Revenue Cycle Management, Revenue Cycle Optimization, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPA

Why Outsource Your Medical Billing?

June 26, 2023 / Alex J. Lau / Billing, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Claim Billing, Claim Denials, Claim Rejection, Commonly Asked Medical Billing Questions, FAQs, Full Service Medical Billing, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing
White Female Medical Billing Outsourced

In today’s fast-paced healthcare industry, medical billing plays a crucial role in the financial stability and success of medical practices. However, managing the complexities of medical billing can be overwhelming for healthcare providers. This is where outsourcing your medical billing can be a game-changer. In this article, we will explore the reasons why outsourcing your […]

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Healthcare, Healthcare Billing, Medical Billing, Medical Billing Service, Medical Billing Strategy, Medical Claims, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization

The Future of Medical Billing: Revolutionizing Healthcare Administration

June 7, 2023 / Alex J. Lau / Artificial Intelligence, Automation, Billing, Blockchain Technology, CPT Codes, HL7, Machine Learning, Patient-Centric Billing Systems, Predictive Analytics, Real-Time Claims Processing, Remote Billing, Telemedicine
Medical Billing White Guy

Medical billing plays a critical role in the healthcare industry, ensuring accurate reimbursement for services provided by healthcare providers. However, the traditional processes of medical billing have long been plagued by challenges such as complex coding systems, frequent changes in regulations, and increasing administrative burden. The future of medical billing holds great promise in transforming […]

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Automation, Blockchain Technology, EHR, HIPAA, HIPAA and Data Protection, Machine Learning, Medical Billing, Patient-Centric Billing Systems, Predictive Analytics, Real-Time Claims Processing, Reducing Rejected Claims, Remote Billing, Telemedicine

Which CPT Codes are Used in Urgent Care Billing?

May 28, 2023 / Alex J. Lau / Billing, Billing Codes, E/M Codes, E/M Coding, Healthcare, Healthcare Billing, ICD-10, ICD-10 coding, Medical Billing, Medical Billing and Coding, Procedural Codes, Procedure Modifiers, Urgent Care CPT Codes, Urgent Care Diagnosis Codes, Urgent Care Modifiers
Urgent Care CPT Codes

Urgent care clinics have become an increasingly popular option for patients seeking prompt medical attention for non-life-threatening conditions. These facilities provide convenient, affordable, and timely care for a wide range of illnesses and injuries that are too severe to wait for a scheduled appointment but not serious enough to warrant a visit to the emergency […]

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Articles, Billing, Billing Codes, E/M codes, E/M coding, Healthcare, Healthcare Billing, ICD-10, ICD-10 coding, Medical Billing, Medical Billing and Coding, Procedural Codes, Procedure Modifiers, Urgent Care Billing, Urgent Care CPT Codes, Urgent Care Diagnosis Codes, Urgent Care Modifiers

Denial Codes in Medical Billing

May 21, 2023 / Alex J. Lau / Billing, Billing Best Practice, Billing Services, Claim Billing, Claim Denials, Claim Rejection, Claim Status, Denial Codes, Denials Managements, Denied Claims, Denied Medical Claims, Rejected Claims
Rejected, Denied Medical Claim

When a payer denies a claim, they do not simply say no. They send back a code. That code is supposed to tell you why the claim was rejected and what, if anything, you can do about it. In practice, denial codes can be cryptic, inconsistent across payers, and easy to misread if your billing […]

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Denial Codes, Denial Management, Denied Medical Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Outsourced Billing, Revenue Cycle Management, Revenue Cycle Optimization

The Ultimate Guide to the Best Schools for Medical Billing and Coding

May 16, 2023 / Alex J. Lau / Billing, Coding, CPT, CPT Code, CPT Codes, HIPAA, Medical Billing, Medical Billing and Coding, Medical Billing and Coding FAQs, Medical Coder, Medical Coding
Medical Billing, Coding Universities, with Blonde Girl Studying

Are you passionate about healthcare administration and interested in pursuing a career in medical billing and coding? As the demand for skilled professionals in this field continues to grow, it’s crucial to choose the right educational institution that provides comprehensive training and prepares you for a successful career. We take a look at some of […]

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AAPC, AHIMA, American Academy of Professional Coders, American Health Information Management Association, Career Step, DeVry University, Drexel University, Keiser University, Medical Billing, Medical Billing Education, Medical Billing Programs, Medical Billing Training, Medical Coding, Medical Coding Education, Medical Coding Training, University of Phoenix

What is EOB in Medical Billing?

May 1, 2023 / Alex J. Lau / Billing, EOB, EOBs, Explanation of Benefits, Explanation of Benefits (EOBs), Explanation of Medical Benefits, Healthcare Billing, Medical Billing, OMB, OMBs
What-is-EOB-in-Medical-Billing

An Explanation of Benefits (EOB) plays a crucial role in helping patients understand the costs and coverage associated with their healthcare services. An EOB is a document that provides a detailed breakdown of a medical claim, outlining the services rendered, the amount billed, the insurance coverage, and the patient’s financial responsibility. Let’s delve deeper into […]

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Billing, EOB, EOBs, Explanation of Benefits, Explanation of Benefits (EOBs), Explanation of Medical Benefits, Healthcare, Healthcare Billing, Medical, Medical Billing, OMB, OMBs

Understanding Medical Billing for New vs. Established Patients

April 27, 2023 / Alex J. Lau / Billing, Billing Revenue, Billing Services, Existing Patients, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Assessment, Medical Billing Best Practices, New Patients, Revenue Cycle Management
Therapist talking to patient

Efficient and accurate medical billing is crucial for healthcare providers and patients alike. Whether it’s handling billing for new or established patients, understanding the intricacies of medical billing practices is essential. We take an in-depth look into the key aspects of medical billing for new and established patients, exploring the differences, challenges, and best practices […]

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Medical Billing, Medical Billing Service, Medical Billing Strategy, Outsource Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, Revenue Cycle Management, Revenue Cycle Optimization

How to Choose the Correct CPT Code

April 21, 2023 / Alex J. Lau / Biling Codes, Billing, Billing Codes, CPT, CPT Code, CPT Codes, Healthcare Billing, Medical Billing
CPT Codes Options

As a medical biller or coder, choosing the correct Current Procedural Terminology (CPT) code is crucial for accurate reimbursement. However, with thousands of codes available, it can be overwhelming to find the right one for your services. We offer a free step-by-step guide on how to choose the correct CPT code for your medical billing […]

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Billing, Correct CPT Code, CPT, CPT Billing Codes, CPT Code, CPT codes, CPT-10, CPT-10 Codes, Healthcare, Healthcare Billing, Medical, Medical Billing

The Future of Medical Billing

March 27, 2023 / Alex J. Lau / AI, Artificial Intelligence, Billing, Billing Services, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing, Medical Billing AI, Telehealth, Telemedicine
Medical Billing Credentialing Team

As medical technology continues to evolve, so does the way we manage and pay for healthcare. One area in particular that has seen significant changes in recent years is medical billing. Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for medical services […]

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AI, Artificial Intelligence, Billing, Billing Services, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing, Medical Billing AI, Telehealth, Telemedicine

What to Know Before Starting Your Own Medical Billing Company?

March 9, 2023 / Alex J. Lau / Billing, Billing Services, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Careers, Medical Billing Companies, Medical Billing Jobs, Medical Billing Services, Medical Coding, RCM, Revenue Cycle Management
Outsourced Medical Billing Services

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services provided by healthcare providers. With the increasing complexity of medical billing and coding procedures, there has been a surge in demand for medical billing companies. Many entrepreneurs are now considering starting their […]

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Medical, Medical Billing, Medical Billing Service, Outsource Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, RCM, Revenue Cycle Management

Which CPT Codes are Used in Toxicology Lab Billing?

March 7, 2023 / Alex J. Lau / Biling Codes, Billing, CPT Codes, Medical Coding, Toxicology Billing, Toxicology Lab Billing, Toxicology Labs
Toxicology Lab Billing

Toxicology testing is the analysis of biological samples, such as urine or blood, to detect the presence of drugs or other substances. The results of these tests can be critical in determining a patient’s treatment plan, medication management, or drug rehabilitation program. Toxicology labs play a crucial role in the diagnosis and treatment of various […]

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CPT, CPT codes, CPT-10, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Toxicology, Toxicology Billing, Toxicology CPT Codes, Toxicology Lab Billing, Toxicology Laboratory Billing

Which CPT Codes are Used in Behavioral Health Billing?

March 5, 2023 / Alex J. Lau / Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Biling Codes, Billing, CPT, CPT Codes
Behavioral Health Billing Codes

In behavioral health, medical billing is a crucial aspect of providing services to patients. The billing ensures that healthcare providers receive proper payment for the services they provide, and it helps patients understand the costs associated with their care. As the healthcare industry continues to evolve, it is important for behavioral health providers to understand […]

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Behavioral Health, Behavioral Health Billing, Behavioral Health Billing Codes, Behavioral Health Codes, Behavioral Health CPT Codes, Billing Codes, CPT, CPT Billing Codes, CPT codes, CPT-10, CPT-10 Codes, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle Management

The Reasons to Outsource your Medical Billing

February 28, 2023 / Alex J. Lau / Allergy Billing, Allergy Testing Billing, Behavioral Health, Behavioral Health Billing, Billing, Billing Services, COVID Test Kits, COVID Testing Billing, COVID-19 Billing, COVID-19 Testing Billing, DME Billing, Genetic Testing Billing, Sleep Study Lab Billing, Speech Therapy Billing, Substance Abuse Billing, Toxicology Billing, Toxicology Lab Billing
White Female Revenue Cycle Management

In today’s healthcare landscape, medical billing has become an increasingly complex and time-consuming task. It requires in-depth knowledge of constantly evolving billing regulations, as well as the ability to manage large amounts of patient data accurately. Many healthcare practices find it challenging to manage their billing in-house, which is why outsourcing medical billing has become […]

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Allergy Billing, Behavioral Health Billing, COVID testing billing, COVID-19 billing, DME Billing, Genetic Testing Billing, Medical Billing, Speech Therapy Billing, Substance Abuse Billing, Toxicology Billing

The Gravity of Medical Billing Compliance

February 23, 2023 / Alex J. Lau / Billing, Billing Best Practice, Billing Services, Claim Billing, HIPAA, HIPAA Compliant, Medical, Medical Billing, Medical Billing Best Practices
Medical Billing White Guy

Medical billing compliance refers to the adherence to laws, regulations, and ethical standards that govern the billing process. Billing procedures are complex and involve many stakeholders, including healthcare providers, patients, insurance companies, and government agencies. Compliance with regulations is critical to ensuring that healthcare providers receive reimbursement for services rendered, patients are charged correctly for […]

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AKS, Anti-Kickback Statute, Billing, False Claims Act, FCA, Healthcare Billing, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Compliance, Medical Billing Regulation, Stark Law, The Health Insurance Portability and Accountability Act (HIPAA)

Tips for Landing Your First Medical Billing Job

February 18, 2023 / Alex J. Lau / Billing, Careers in Medical, Careers in Medical Billing, Jobs in Healthcare, Medical, Medical Billing, Medical Billing and Coding, Medical Billing Job, RCM, Revenue Cycle Management, Revenue Cycle Management (RCM)
Medical Billing Software White Male User

Medical billing is an essential aspect of the healthcare industry, and with the increasing demand for healthcare services, the need for skilled billers is on the rise. A medical biller is responsible for submitting claims to insurance companies and ensuring that healthcare providers are reimbursed for their services. If you’re looking for a career in […]

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Billing Jobs, Healthcare Jobs, Jobs in Healthcare, Jobs in Medical Billing, Medical, Medical Billing, Medical Billing Jobs, Medical Billing Service, Medical Jobs, RCM, Revenue Cycle Management

Are Uber Health and Lyft Healthcare Covered by Insurance Providers?

February 2, 2023 / Alex J. Lau / Billing, Healthcare, Healthcare Billing, Lyft Concierge, Lyft Healthcare, Medical Transportation, Medical Transportation Billing, NEMT, NEMT Billing, Non-Emergency Medical Transportation, Transportation Billing, Uber Health
Uber Health, Lyft Healthcare Driver

Uber Health and Lyft Healthcare Transportation Services Uber and Lyft have made moves towards medical transportation, driven by the growing demand for Non-Emergency Medical Transportation (NEMT) services, which help patients who are unable to drive themselves to and from medical appointments. Estimates have the Non-Emergency Medical Transportation Market Size Worth $15.57Bn by 2028. Both Uber […]

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Healthcare Transportation, Lyft, Lyft Concierge, Lyft Healthcare, Medical, Medical Appointments, Medical Billing, Medical Transportation, NEMT, NEMT Billing, Non-Emergency Medical Transportation, Transportation, Uber, Uber Health

Why Do Insurance Companies Deny Medical Claims?

February 2, 2023 / Alex J. Lau / Billing, Billing Denied Claims, Billing Revenue, Claim Billing, Claim Denials, Denied Claims, Denied Medical Claims
Rejected, Denied Medical Claim

Insurance Companies Deny Medical Claims for a Number of Reasons Insurance Claim Denials Can be Challenging As a patient, it can be frustrating to have your medical claim denied by your insurance company. Unfortunately, this is a common issue that many people face. In this section, we’ll explore some of the reasons why insurance companies […]

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The Medical Billing Onboarding Process

February 2, 2023 / Alex J. Lau / Billing, Billing Denied Claims, Billing Revenue, Claim Billing, Claim Denials, Denied Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Onboarding
Wealthy African-American Medical Billing Company Owners

Medical Billing Has Its Complexities Medical billing is a complex process that involves various steps to ensure that healthcare providers receive payment for their services. Onboarding a new medical billing system can be a daunting task, but it can also bring about significant improvements in the efficiency and accuracy of the billing process. Examples of […]

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Billing Onboarding, Medical Billing, Medical Billing Onboarding, Medical Billing Service, Medical Billing Strategy, Medical Claims, Onboarding Billing, Outsourced Billing
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