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Medical

Why Outsource Your Medical Billing?

June 26, 2023 / Alex J. Lau / Articles, 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

Which CPT Codes are Used in Substance Abuse Billing?

June 22, 2023 / Alex J. Lau / Articles, CPT, CPT Code, CPT Codes, FAQ, FAQs, Healthcare, Medical, Medical Billing, Substance Abuse, Substance Abuse Billing
Substance Abuse Billing

Substance abuse treatment plays a crucial role in addressing addiction and supporting individuals on their path to recovery. Alongside the provision of quality care, it is essential to have a streamlined billing process to ensure efficient reimbursement for the services rendered. This article aims to explore the common Current Procedural Terminology (CPT) codes used in […]

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Behavioral health assessment, Case management, CPT, CPT-10, Detoxification and withdrawal management, Evaluation and Management, Family therapy, Group therapy, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medication management, Psychotherapy, Substance Abuse, Substance Abuse and Mental Health Services Administration, Substance Abuse Billing

Qualities of an Outstanding Physician Billing Solution

May 5, 2023 / Alex J. Lau / Articles, Artificial Intelligence, Billing, Billing AI, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Claim Billing, Denied Claims, Denied Medical Claims, EHR, EHR Integration, Electronic Claims, Healthcare, Healthcare Billing, HIPAA Compliant, HL7, Medical, Medical Billing, Robotic Process Automation, RPA, RPA HL7
Medical Billing Software White Male User

As a leading provider of healthcare services, we understand the importance of an efficient and reliable physician billing solution. Medical billing is a critical aspect of healthcare management, and selecting the right solution can significantly impact the success and profitability of a practice. In this article, we will explore the key qualities that define a […]

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Billing, Denial Management, EHR, Electronic Health Records, Healthcare, Healthcare Billing, HL7, Medical, Medical Billing, Robotic Process Automation, Robotic Process Automation Medical Billing, RPA

Understanding the Difference Between Medical Billing and Revenue Cycle Management

May 1, 2023 / Alex J. Lau / Articles, 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

The Future of Medical Billing

March 27, 2023 / Alex J. Lau / AI, Articles, 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

Which CPT Codes are Used in DME Billing?

March 21, 2023 / Alex J. Lau / Articles, CPT, CPT Codes, DME, DME Billing, FAQs, Healthcare, Healthcare Billing, Medical, Medical Billing
DME Billing Codes

Durable Medical Equipment (DME) refers to medical equipment and supplies that are intended for long-term use by individuals with medical conditions or disabilities. Some common types of DME include wheelchairs, walkers, crutches, canes, hospital beds, patient lifts, oxygen equipment, nebulizers, and continuous positive airway pressure (CPAP) machines. Other examples of DME products include enteral feeding […]

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CPT, CPT Codes DME, CPT Codes DME Billing, CPT-10, DME, DME Billing, DME Billing FAQ, DME Billing Service, DME CPT, Medical Billing

The Benefits and Challenges of Adopting Value-Based Care

March 19, 2023 / Alex J. Lau / Articles, EHR, Healthcare, HIPAA, Medical, Value Based Care, Value Based System, Value-Based, Value-Based Care, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing, VBC
Doctors Adopting Value-Based Care

Value-based care (VBC) is a healthcare delivery model that aims to achieve better health outcomes and cost-effectiveness by focusing on the value of care provided to patients. This model shifts the focus from the traditional fee-for-service approach, where healthcare providers are paid based on the number of services they provide, to a system where providers […]

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EHR, Healthcare, Healthcare Outcomes, HIPAA, Medical, Value Based Care, Value Based System, Value-Based, Value-Based Care Adoption, Value-Based Care Models, Value-Based Models, Value-Based Pricing, VBC

Which CPT Codes are Used in Genetic Testing Billing?

March 6, 2023 / Alex J. Lau / Articles, 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

Maximizing Reimbursement: 10 Tips for Successful Medical Billing

March 3, 2023 / Alex J. Lau / Accounts Receivable, Articles, Billing, Billing Revenue, Healthcare, Healthcare Billing, Healthcare Revenue, Medical, Medical Billing, Medical Billing and Coding, Medical Billing Tips, Outsource Medical Billing, RCM, Revenue Cycle Management
Medical Owner White Businessman

Medical billing is a critical aspect of the healthcare industry, as it ensures that healthcare providers are paid for the services they provide to patients. However, medical billing can be a intricate process, and many healthcare providers struggle to maximize reimbursement for their services. To maximize reimbursement, healthcare providers should focus on accurate medical coding, […]

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

The Gravity of Medical Billing Compliance

February 23, 2023 / Alex J. Lau / Articles, 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)

10 Challenges in Medical Credentialing

February 22, 2023 / Alex J. Lau / Articles, Credentialing, Credentialing Accuracy, Credentialing Challenges, Credentialing Delays, Credentialing Difficulty, Healthcare, Medical, Medical Credentialing, Provider Credentialing, Remote Practitioner Credentialing
White Female at Desk Doing Credentialing

At present, medical credentialing is one of the most critical components of healthcare administration. However, it is an endeavor that comes with its own set of challenges. From streamlining the entire process to ensure credentialing committees have adequate resources, there are a lot of challenges that need to be addressed to ensure that things run […]

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Challenges in Credentialing, Credentialing, Credentialing Challenges, Healthcare, Medical, Medical Credentialing, RCM, RCM Challenges

Tips for Landing Your First Medical Billing Job

February 18, 2023 / Alex J. Lau / Articles, 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

Payer Contracting Demystified

February 11, 2023 / Alex J. Lau / Articles, Contracting, Healthcare, Medical, Payer Contract, Payer Contracting, Payer Contracts, Payer Negotiation, Payer Relations, Rate Negotiations, Reimbursement Rates
Payer contracting specialist reviewing insurance agreement

Payer contracting determines how much a healthcare provider gets paid for the work they do. It is not a formality or a one-time administrative task. It is one of the most consequential financial decisions a practice makes, and the terms locked into those contracts follow the practice for years. A poorly negotiated rate affects every […]

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Healthcare, Healthcare Payor Contracting, Medical, Medical Payor Contracting, Patient Satisfaction, Payor Contracting, payor contracting process, Payor Enrollment, Payor Healthcare

Outsourced Medical Billing: Elevating Healthcare with Enhanced Understanding

February 7, 2023 / Alex J. Lau / Articles, 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

Discover the Benefits of Outsourced Laboratory Billing Solutions

February 7, 2023 / Alex J. Lau / Articles, Corona Virus, Corona Virus Testing Billing, Coronavirus, COVID, COVID Testing Billing, COVID-19, COVID-19 Billing, Healthcare, Lab Billing, Laboratory Billing, Medical, Medical Billing, Medical Billing for Labs, Outsourced Lab Billing
Laboratory Billing

Understanding Outsourced Laboratory Billing In the medical industry, managing billing and reimbursement processes can be a daunting task. From insurance claims and patient billing to regulatory compliance and coding accuracy, there are many variables to consider. This is why many medical laboratories have chosen to outsource their billing operations to third-party providers. Outsourced laboratory billing […]

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Corona billing, Corona Virus, Corona virus billing, Coronavirus, Coronavirus testing billing, COVID, COVID-19, COVID-19 Testing Billing, Genetic Testing Billing, Genetic Testing Labs, Healthcare, Lab Billing, Lab Testing Billing, Laboratory Billing, Medical, Toxicology Billing, Toxicology Lab Billing, Toxicology Laboratory Billing

Becoming a Medical Billing Specialist: A Step-by-Step Guide

February 5, 2023 / Alex J. Lau / Articles, Careers in Medical, Careers in Medical Billing, Jobs in Healthcare, Medical, Medical Billing, Medical Billing Careers, Medical Billing Jobs, Medical Billing Specialist, Medical Careers
White Female Medical Billing Outsourced

A medical billing specialist plays a crucial role in 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 […]

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Billing Jobs, Billing Medical, Billing Specialist, Careers in Healthcare, Careers in Medical, Careers in Medical Billing, Healthcare, Healthcare Billing, Healthcare Careers, Jobs in Healthcare, Medical, Medical Billing, Medical Billing Career, Medical Billing Jobs, Medical Billing Specialist

The Efficacy of Robotic Process Automation (RPA) in Medical Billing

February 5, 2023 / Alex J. Lau / Articles, FHIR, FHIR Adoption, FHIR API, FHIR vs HL7, Health Level 7, Healthcare, HL7, HL7 FHIR, HL7 Interface, Medical, Medical Billing Robotic Process Automation, Robotic Process Automation, RPA, RPA HL7
robotic-process-automation-RPA-example-code

RPA has Transformed the Medical Billing Industry Medical billing is a crucial aspect of the healthcare industry, responsible for accurately tracking and processing payments for patient care and services. In recent years, advances in technology have led to the development of Robotic Process Automation (RPA) in Healthcare, which has been hailed as a game-changer for […]

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Adding Relevant ICD Codes, Caims Generation Submission, Claim Submissions, Data Entry, FHIR, FHIR Adoption, FHIR API, FHIR vs HL7, Health Level 7, Healthcare, HIPAA, HL7, HL7 FHIR, HL7 interface, HL7 Standards, Insurance Coverage Verification, Medical, Medical Billing Robotic Process Automation, Medical Billing RPA, Patient registration, Payment Processing, Robotic Process Automation, RPA, RPA HL7, Superbill creation, UiPath

What are the Benefits of Medical Marijuana and Will It Ever be Covered by Commercial Insurers?

February 2, 2023 / Alex J. Lau / Articles, Cannabis, Healthcare, Healthcare Billing, Marijuana, Medical, Medical Billing, Medical Cannabis, Medical Cannabis Billing, Medical Marijuana, Medical Marijuana Billing
Medical Marijuana Coverage

What’s the Value of Medical Marijuana and Why Don’t Private Insurers Cover It? Value of Medical Marijuana Medical marijuana has been legal in some form in over 30 states in the United States, and many patients are using it to treat a variety of medical conditions. However, despite its growing popularity, medical marijuana is not […]

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Marijuana Billing, Marijuana Payment Processing, Medical Billing, Medical Cannabis, Medical Cannabis Billing, Medical Marijuana, Medical Marijuana Billing

The Medical Billing Onboarding Process

February 2, 2023 / Alex J. Lau / Articles, 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 / Articles, 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 / Articles, 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 / Articles, 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

Uncompensated Healthcare: Charity Care and Bad Debt

January 18, 2023 / Alex J. Lau / Articles, Care, Charity Care, Charitycare, Healthcare, Healthcare Outcomes, Healthcare Practice, Healthcare Revenue, Healthcare Revenue Integrity, HIPAA, Medical, Revenue Cycle Management, Revenue Cycle Management (RCM), Uncompensated Healthcare
Charity Care Doctor

Uncompensated Healthcare in the Form of Charity Care and Bad Debt are Painful for Providers Uncompensated care is a widespread pain point for healthcare organizations, rising by just over a billion dollars in 2020 to $42.7 billion. And while it may not be thinkable to get rid of it, there are tactics you can introduce […]

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Charity Care, Charitycare, Healthcare, Healthcare Debt, Medical, Medical Care, Medical Charity, RCM, Revenue Cycle Management (RCM), Uncompensated Healthcare

How Critical is Revenue Integrity in Healthcare?

December 28, 2022 / Alex J. Lau / Articles, Healthcare, Healthcare Revenue, Healthcare Revenue Integrity, Medical, Revenue, Revenue Integrity
electronic-claim-attachments

Is Revenue Integrity Critical in Healthcare? What is Revenue and Why is it Important? The exact wording may vary, but you can look for terms such as “gross revenue,” “gross sales,” or “total sales.” This figure is the amount of money a business brought in during the time period covered by the income statement. The […]

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Healthcare, Healthcare Revenue, Healthcare Revenue Integrity, Medical Revenue Integrity, Revenue, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, Revenue Integrity

Skilled Nursing Facility Versus Nursing Home

December 18, 2022 / Alex J. Lau / Articles, Medical, Medical Billing, Medical Providers, Medicare, Medicare Coverage, Nursing Home, Old Folks Home, Skilled Nursing, Skilled Nursing Billing, Skilled Nursing Facility

What’s the Difference Between a Skilled Nursing Facility and a Nursing Home? On the surface, a skilled nursing facility and a nursing home may appear rather the same. In fact, some care facilities actually function as both, with a distinct floor or section of a building dedicated to each. The difference between a skilled nursing […]

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Billing, Medical Billing, Medical Billing Service, Nursing Billing, Nursing Facility Billing, Nursing Home, Old Folks Home, Skilled Nursing, Skilled Nursing Billing, Skilled Nursing Facility, Skilled Nursing Facility Billing
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Recent Posts

  • Locums Tenens Medical Billing (nurse and doctor resources)

    Locum Tenens Billing: Rules, Modifiers, Best Practice

  • Medicare Fraud Strike Force

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  • Highest-Paying Physician Specialties

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  • Payer Contract Negotiations, with White Male Medical Doctor

    Federal and State Laws That Govern Payer Contract Negotiations

  • Denied Medical Claim Appeal Letter

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