Medical Billing has its Difficulties Medical billing is a detailed 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 […]
Billing Accuracy, Billing Software, Medical Billing Onboarding, Outsourced Billing
Updated October 2026 Medwave first published this page in December 2022, the same month HHS proposed a national standard for electronic claim attachments. That proposal sat for more than three years. The final rule appeared in the Federal Register on March 24, 2026, and every HIPAA covered entity now has until May 26, 2028 to […]
CAQH Index, Denial Management, Electronic Claims, Medical Billing Software, RCM
An Unethical Medical Billing Behavior Case The case of Dr. Michael Stevens is an illustration of the worst-case scenario when unethical behavior impacts medical billing. An anesthesiologist and owner of a pain management clinic, Dr. Stevens was obliged to relinquish his medical license when it was uncovered that his in-house medical biller was committing fraud. […]
Ethical Medical Billing, Healthcare Ethics, Medical Billing Ethics, Medical Billing Fraud
Patient Collections Strategies FAQ 7 Strategies to Maximize Patient Collections Any medical provider knows how difficult it is to get paid for their services. 73 percent of healthcare providers assert that it takes 30+ days to recover their payment fully. Various issues like complicated billing procedures, changing payer fee schedules, employee attrition, government directives, lack […]
Basics of Medical Billing, Collection Process, Medical Billing, Medical Billing Strategies, Patient CollectionsMedical billing issues that cut into provider revenue often start at the front desk. Let’s say a patient comes in and gives you his or her Medicare card. The front desk carefully records the information and billing submits the charge to Medicare. But the claim is rejected, maybe even from the clearinghouse. The problem? The […]
Diagnostic Code, Healthcare Billing, Medical Billing Service, Medical Claims, Outsourced Billing
Outsourcing toxicology billing can help labs maximize revenue collection. As a supplier of toxicology testing, you’re well aware that medical billing for toxicology laboratory work is highly detailed and undergoes frequent and often unpredictable changes. Further muddying the waters, lab testing work is an area of attention and scrutiny by agents for the Office of […]
Billing Revenue, Outsourced Toxicology Billing, Revenue Cycle, Toxicology Billing, Toxicology Lab BillingMedical billing service cost usually lands between 4% and 10% of what your practice collects. That range is wide on purpose, and the gap inside it is where the real money sits. Take a practice that collects $1 million a year. A 5% quote costs $50,000. An 8% quote costs $80,000. Same practice, same claims, […]
Billing Fees, Billing Percentage, Fixed Rate Billing, Medical Billing Cost, Monthly Billing Pricing, Outsourced Billing
What is Medical Billing? Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a healthcare provider. It involves coding and classification of diseases, procedures, and treatments and submission of claims to insurance companies for reimbursement. The goal of medical billing is […]
Billing Service, Medical Billing Powerpoint, Medical Billing PPT, Medical Billing Video
Outsourcing behavioral health medical billing gives providers relief from regulations that keep rolling out additional layers. Healthcare providers are spending more time and resources as they organize patient care, and this time could be put to better use. Using a qualified, outsourced behavioral health billing company can provide better service as your workload reduces, you […]
Behavioral Health Billing, Mental Health, Mental Health Billing, Outsourced Billing
Ask ten people in a medical office to explain the difference between billing and credentialing, and you might get ten different answers. Some will say they’re basically the same department. Others will shrug and say “billing is the money part, credentialing is the paperwork part,” which isn’t wrong, but it barely scratches the surface. These […]
Billing vs Credentialing