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Healthcare Billing

Boosting Revenue Integrity: 7 Keys to Unlocking Efficient, Effective Medical Billing

December 18, 2023 / Alex J. Lau / Billing, Billing Revenue, Claims Management, Denial Management, Healthcare, Healthcare Billing, KPI, Medical Billing, Medical Billing KPIs, RCM, RCM Challenges, Revenue, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Management (RCM), Revenue Cycle Optimization, Revenue Integrity
Medical Billing White Guy

Amidst an increasingly complex healthcare payer environment, medical billing has direct implications on the financial viability of providers to maintain daily operations and invest in advancing care. However, antiquated systems still relying on manual workflows struggle to effectively navigate critical revenue cycle processes and optimization in the modern digital era. The resulting claims denials, patient […]

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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

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 the Difference Between Medical Billing and Revenue Cycle Management

May 1, 2023 / Alex J. Lau / Billing AI, CPT, CPT Code, CPT Codes, Healthcare, Healthcare Billing, Healthcare Revenue, ICD-10, Medical, Medical Billing, RCM, Revenue, Revenue Cycle Management, Revenue Cycle Management (RCM)
White Female Medical Billing Outsourced

In the complex world of healthcare, managing the business side of things can often be overwhelming, especially for those new to the field. One common question that arises is the distinction between medical billing and revenue cycle management (RCM). Although the term “medical billing” has been around for a long time, RCM encompasses the entire […]

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CPT, Healthcare, Healthcare Billing, ICD, Medical, Medical Billing, Medical Billing Service, Medical Billing Software, Medical Credentialing, RCM, Revenue Cycle, Revenue Cycle Management

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 Genetic Testing Billing?

March 6, 2023 / Alex J. Lau / CPT Codes, Genetic Testing, Genetic Testing Billing, Genetic Testing Medical Billing, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Lab Billing, Laboratory Billing, Medical, Medical Billing
Genetic Testing Lab

Genetic testing has become an essential tool in medicine, providing valuable insights into a patient’s health and disease risk. As genetic testing becomes more prevalent, medical professionals must navigate the complex world of billing and coding for these tests. Correct coding ensures that the provider is reimbursed for the services provided, and it also provides […]

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CPT, CPT Code, CPT-10, Genetic Testing, Genetic Testing Billing, Genetic Testing CPT Codes, Genetic Testing Labs, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Revenue Cycle Management

Outsourced Medical Billing: Elevating Healthcare with Enhanced Understanding

February 7, 2023 / Alex J. Lau / Billing Services, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Outsourcing, Medical Billing Services
White Female Revenue Cycle Management

Medical billing plays a crucial role in the healthcare industry. They are responsible for the accurate and efficient handling of insurance claims, coding, and billing. We’ll provide a detailed overview of outsourced medical billing and explore the benefits, challenges, and key factors to consider when choosing the right one for your healthcare organization. What is […]

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Billing Services, Coding and Billing, FAQs, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Expertise, Medical Billing Service, Outsourced Billing, Outsourced Medical Billing

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

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

All About ICD-10 Codes

February 1, 2023 / Alex J. Lau / Billing, Claim Billing, Healthcare, Healthcare Billing, ICD-10, ICD-10 to ICD-11, ICD-9 to ICD-10, Medical, Medical Billing
ICD-10 Codes

What are ICD-10 Codes? ICD-10 codes are the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification system used worldwide to classify and code diseases and health conditions. The ICD-10 codes are used by healthcare providers and insurance companies to accurately describe and categorize medical diagnoses, treatments, […]

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Healthcare, Healthcare Billing, ICD-10, ICD-10 lookup, ICD-11, Medical Billing, Reimbursement, WHO, World Health Organization

What’s the Value of Medical Billing for Genetic Testing Labs?

February 1, 2023 / Alex J. Lau / Billing, Genetic Testing, Genetic Testing Billing, Genetic Testing Medical Billing, Genetic Testing Services Billing, Healthcare, Healthcare Billing, Medical, Medical Billing
Genetic Testing Lab

What is Genetic Testing? Genetic testing is a medical process that involves analyzing a person’s DNA, the building blocks of their genes, to look for specific changes that can indicate the presence of a genetic disorder or an increased risk of developing a certain condition. Genetic testing can be used to diagnose a variety of […]

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The Crucial Role of Medical Billing in Healthcare

February 1, 2023 / Alex J. Lau / Billing, Billing Denied Claims, Billing Revenue, Claim Billing, Claim Denials, Claim Rejection, Denied Claims, Denied Medical Claims, EHR, EHR Integration, EMR, EMR Integration, Full Service Medical Billing, Healthcare, Healthcare Billing, HIPAA, Medical, Medical Billing, Medical Billing Companies, Robotic Process Automation, RPA
electronic-claim-attachments

Medical Billing: Basics, Role of Specialists, Challenges, RPA and What to Look for in a Company Medical billing is an important aspect of the healthcare industry that plays a crucial role in ensuring that patients receive the medical treatment they need while healthcare providers are reimbursed for the services they offer. The process involves submitting […]

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Billing Accuracy, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Compliance, Medical Billing Customer Service, Medical Billing Expertise, Medical Billing Robotic Process Automation, Reimbursement Rates, Robotic Process Automation, RPA

Does Artificial Intelligence (AI) Help or Hurt Healthcare Processes?

March 1, 2022 / Alex J. Lau / Artificial Intelligence, Healthcare, Healthcare Billing, Healthcare Delivery, Healthcare KPIs, Healthcare Outcomes
AI in RCM

No matter the industry, artificial intelligence (AI) has become routine and commonplace. When it comes to healthcare, AI helps practitioners streamline tasks, expand operational efficiencies and simplify complicated medical procedures. AI in medical billing and coding is becoming increasingly more crucial. Although AI is certainly transforming the healthcare industry, this technology is still quite new. As […]

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AI, AI Healthcare, AI medical, Artificial Intelligence, Artificial Intelligence Healthcare, Healthcare, Healthcare KPIs, Healthcare Outcomes, Medical Billing

What Does Medicare Cover for Home Healthcare?

February 9, 2022 / Alex J. Lau / Billing, Billing Revenue, Healthcare, Healthcare Billing, Healthcare Outcomes, Medicaid, Medical Billing, Medical Claims, Medical Providers, Medicare, Occupational Therapy, Physical Therapy, Speech Therapy
Home Healthcare Service (Medicare)

Home Health Services + Medicare What does Medicare Cover for Home Healthcare? If you’re looking for an answer to the question, “What does Medicare cover for home healthcare?”, you’ve probably typed it into a search engine and immediately closed the tab. The amount of information and the level of detail can quickly become confusing and […]

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Healthcare, Healthcare Services, Home Health Care, Home Health Services, Home Healthcare, Medicaid, Medicaid Billing, Medicaid Coverage, Medicare, Medicare Billing, Medicare Coverage

What Do Patients Want from Billing?

November 26, 2021 / Alex J. Lau / Billing, Healthcare, Healthcare Billing, Medical Billing
Medical Billing Specialist

Healthcare Patient Billing Expectations Patients believe every aspect of their healthcare experience contributes to their care, including the medical payment and billing process. And a negative payment incident could impact a patient’s overall impression of a healthcare organization, even if the rest of their experience was positive. According to survey results, patient satisfaction ratings fall […]

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Billing, Billing Service, Healthcare, Medical, Medical Bill, Medical Bill Process, Medical Claims, Medical Patients, Medical Payment

9 Steps for a Proactive Medical Billing Strategy

November 22, 2021 / Alex J. Lau / Billing Revenue, Full Service Medical Billing, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Companies, Medical Billing Cost, Medical Billing Outsourcing, Medical Providers, RCM, Robotic Process Automation, RPA
Medical Billing Specialist

Isn’t it Time to Become More Proactive in Your Medical Billing Payment Strategies? “Do you believe in miracles?” During the 1980 Winter Olympics, the U.S. National Hockey Team miraculously vanquished the Soviet Union Team (who had won the gold medal in the six previous Olympics). It has been noted that one of the chief factors […]

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Basics of Medical Billing, Collection Process, Medical Billing, Medical Billing Strategies, Medical Billing Strategy, Outsourced Medical Billing, Patient Collections, Revenue Cycle Management, Robotic Process Automation, RPA

Meeting the Challenge of Revenue Cycle Management

September 16, 2021 / Alex J. Lau / A/R, A/R Recovery, Healthcare, Healthcare Billing, Healthcare Outcomes, Medical Billing, Medical Billing Companies, Medical Claims, Patient Billing, Patient Collections, Revenue Cycle Management
Medical Billing, Credentialing

Revenue Cycle Management Challenges If a healthcare provider doesn’t set up an efficient billing process, it runs the risk of losing quite a bit of money. With high-deductible insurance plans becoming more widespread, patients are shelling out additional money out of pocket. Or, if the patient is uninsured or underinsured, problems arise since there’s not […]

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A/R, A/R Process, A/R Recovery, Accounts Receivable, Healthcare Billing, Healthcare Outcomes, Healthcare Revenue Cycle, Measuring Healthcare Outcomes, Medical Billing, Medical Claims, Medical Revenue Cycle, Patient Billing, Patient Collections, Revenue Cycle Management

Surprise Bills for COVID-19 Testing

September 15, 2021 / Alex J. Lau / Corona Virus, Coronavirus, Coronavirus Testing, Coronavirus Testing Billing, COVID, COVID Test Kits, COVID Testing Billing, COVID-19, COVID-19 Billing, COVID-19 Testing, COVID-19 Testing Billing, Healthcare Billing, Medical Billing
COVID-19 Testing Billing

No doubt, the Delta-variant is the driving force behind a new flood of nationwide testing that could translate into more surprise medical bills for those being tested. The CARES Act and Families First Coronavirus Relief Actare supposed to ensure free COVID-19 testing for everyone, including those without insurance. But patients, both the uninsured and those […]

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Coronavirus, Coronavirus billing, COVID billing, COVID test kits, COVID testing billing, COVID-19, COVID-19 testing, Healthcare Billing, Medical Billing, Outsourced Billing, Outsourced Medical Billing

Why Perform a Medical Billing Assessment?

August 25, 2021 / Alex J. Lau / Healthcare Billing, Medicaid, Medical Billing, Medical Billing Assessment, Medical Billing Companies, Medical Billing Outsourcing, Medicare, Outsourced Medical Billing
Medical Billing and Credentialing

The Reasons Why a Medical Billing Assessment is Needed Medical Billing Assessments Running a healthcare practice means keeping a tight ship for the sake of your patients and your reputation, as well as your financial well-being. But, let’s face it, practices are only as successful as their medical billing performance. If you have a prosperous […]

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Healthcare Billing, Medical Billing, Medical Billing Assessment, Medical Billing Company, Medical Billing Cycle, Medical Billing Profit, Medical Billing Service, Medical Billing Strategy, Outsourced Medical Billing

Recent Posts

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  • Net Collection Rate, analyzed by analyst

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  • Modifier 96 versus Modifier 97

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Recent Posts

  • Denied Medical Claim Appeal Letter

    Why an Approved Authorization Can Still End in a Denied Claim

  • Medical Credentialing Specialist Searching Payers

    Credentialing Onboarding for New Providers: A Practice Manager’s Guide

  • Paye Contracting Requirements by State

    Payer Contracting Requirements by State: What Changes; What Stays the Same

  • AI Scribes Changing Medical Coding and Billing

    AI Scribes are Changing Medical Coding, Reimbursement

  • Net Collection Rate, analyzed by analyst

    What’s a Net Collection Rate in RCM?

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