A good A/R days number for most medical practices sits between 30 and 40 days, and anything past 50 usually means money is stuck somewhere between the visit and the deposit. A/R days, also written AR days, counts how long it takes on average to collect what you are owed. The number matters because it […]
Accounts Receivable Days, Clean Claim Rate, Denial Management, Patient Collections, Reduce AR Days
Medical billers and coders are central to the healthcare revenue cycle. Their work processing medical claims ensures providers receive accurate reimbursement for services rendered. Pay for billers and coders is far from one-size-fits-all. A certified coder in a major metro area can out-earn an entry-level biller in a rural market by a wide margin, and […]
Best Paying States, Medical Billing and Coding Salaries, Medical Billing Salary, Medical Coding Salary
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 […]
Benefits Verification, Claim Submissions, Insurance Eligibility, Smarter Verification, Verify Eligibility
Medical billing key performance indicators (KPIs) and metrics show how well your billing operation is performing. 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. Why KPIs Matter for Medical […]
Billing Metrics, Claim Denial Rate, Clean Claim Rate, Days in A/R, Medical Billing KPIs
Medical billing requires deep knowledge 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 cover intensivist billing and explore the key CPT codes that play a pivotal role. Join us as we demystify CPT codes in intensivist billing. Which CPT […]
Critical Care CPT Codes, Critical Care Services, Intensivist CPT Codes, Wound Care
In medical billing and coding, precision and accuracy are essential. 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 go through the crucial […]
CPT Codes, CPT Codes in Hospitalist Billing, E/M Service, Hospitalist
What is Payer Enrollment? Payer Enrollment refers to the process through which healthcare providers, such as hospitals, clinics, and individual practitioners, become registered with insurance payers or healthcare plans. It involves submitting the necessary documentation and information to establish a contractual relationship with these payers. Enrolling with payers allows providers to gain the ability to […]
Centralizing Documentation, Continuous Monitoring, Provider Enrollment, Revenue Cycle Management
CPT codes for substance abuse billing support treatment that is central to addressing addiction and helping individuals on their path to recovery. Alongside the provision of quality care, it is essential to have a simplified billing process to ensure efficient reimbursement for the services rendered. This article aims to explore the common Current Procedural Terminology […]
CPT Codes, Family Therapy Codes, Group Therapy Codes, Psychotherapy Codes, Substance Abuse Billing CPT Codes
CPT codes for urgent care billing serve clinics that 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 […]
Urgent Care Billing, Urgent Care CPT Codes, Urgent Care Diagnosis Codes, Urgent Care Modifiers
The best schools for medical billing and coding offer programs for anyone passionate about healthcare administration. 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 […]
American Academy of Professional Coders, DeVry University, Drexel University, Keiser University, Medical Coding Training, University of Phoenix
An Explanation of Benefits (EOB) is central to helping patients see 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 look more closely at the […]
Explanation of Benefits, Insurance Claims, OMB, Patient Financial Responsibility
If you’ve ever asked whether medical billing and revenue cycle management (RCM) are the same thing, you’re not alone. The two terms get used interchangeably all the time, even inside healthcare organizations that should know better. They’re related, but they’re not identical, and the difference matters if you’re trying to figure out where your practice […]
Billing vs RCM, Claim Denials, Coding Compliance, Healthcare Billing, Prior Authorization, RCM
New versus established patient billing goes wrong when a patient’s status is misjudged on the front end, which can risk a denial or quietly underpay every claim for a visit that should have coded higher. The distinction between new and established comes down to a specific three-part test, not a front-desk gut check, and the […]
Billing Challenges, Outsourced Billing, Revenue Cycle Management, Revenue Cycle Optimization, Verifying Insurance
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 […]
Billing, Correct CPT Code, CPT Billing Codes, CPT-10, Modifiers
The urine drug screen CPT codes most labs and practices bill are 80305, 80306 and 80307, and the right one depends on how the screen is read rather than how many drugs it covers. All three are presumptive codes, which means they identify possible drug use and are billed once per date of service. Older […]
CPT Codes, Toxicology Billing, Toxicology CPT Codes, Toxicology Laboratory Billing
CPT codes for genetic testing billing matter because 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 handle billing and coding for these tests. Correct coding ensures that the provider is reimbursed for the services provided, […]
Genetic Testing Billing, Genetic Testing CPT Codes, Microarray CPT Codes, Molecular Pathology CPT Codes, Next-generation Sequencing CPT Codes
CPT codes for COVID-19 billing exist because the pandemic has impacted the world significantly, causing widespread illness, death, and economic disruption. The virus, also known as SARS-CoV-2, primarily spreads through respiratory droplets when an infected person talks, coughs, or sneezes. COVID-19 symptoms range from mild to severe and may include fever, cough, fatigue, body aches, […]
Coronavirus, COVID-19 billing, COVID-19 CPT Codes, CPT Codes, SARS-CoV-2
Are billing companies worth it? Often, yes, though the answer depends on arithmetic you can run on your own numbers in about ten minutes. A billing company takes a share of what you collect, and that money has to come back to you as something real, either saved payroll or extra collections. If neither shows […]
Coding and Billing, Outsourced Billing, Outsourced Medical Billing
Many questions exist in the medical billing and coding industry because it is a detailed and fast-changing field which requires a high level of accuracy and attention to detail. The healthcare industry is dynamic and is subject to frequent changes in laws, regulations, and insurance policies, which can impact the billing and coding process. Additionally, […]
Billing Challenges, Claim Denials, ICD-10, Medical Biller, Medical CoderA medical billing specialist is central to the healthcare industry. They are responsible for managing the financial side of healthcare, which includes submitting claims to insurance companies and following up on any denied claims. A medical billing specialist is responsible for submitting and following up on claims to insurance companies for payment for medical services […]
Healthcare Careers, Jobs in Healthcare, Medical Billing Career, Medical Billing Jobs, Medical Billing Specialist