Diabetes is a chronic condition that affects millions of Americans, and early detection and management are essential for preventing or delaying the onset of complications. Medicare, the federal health insurance…

Coding and Billing Procedures  Once the data is sorted, the next step is to assign codes to the procedures. The medical billing companies make sure that they assign the correct…

Introduction  The front desk staff of a medical practice is often undervalued, yet it plays a critical role in the success of the practice. The front desk staff is the…

Strategies for Healthcare Providers Introduction  Accounts receivable (AR) is the money owed to healthcare providers for services that have been rendered to patients or their insurance companies. Managing AR is…

Medical billing is a complex process that requires a high level of expertise and knowledge. One common problem that medical providers face when billing for certain procedures is getting denied…

Credentialing is crucial in the medical field, providing patients with confidence that their healthcare provider is certified, licensed, and up-to-date on the latest knowledge. From the healthcare professional’s viewpoint, there…

Days in Accounts Receivable (A/R) is a metric used to measure the amount of time it takes a medical practice to collect on its accounts receivable. It is calculated by…

Medical billing is the process of creating and submitting claims to insurance companies to receive payment for healthcare services. The purpose of medical billing is to ensure that healthcare providers…

The process of medical billing in USA involves the submission of claims to health insurance companies and other payers so that medical providers may be reimbursed for their services. The…

Overview Still looking For ? What are the benefits of outsourcing medical billing? You may find all the information in this blog here. When you visit a clinic, you typically…

The field of provider credentialing and enrollment is seeing a surge in job opportunities due to the complex nature of the work involved. However, many individuals, particularly those new to…

Revenue codes are codes maintained by the National Uniform Billing Committee (NUBC) that identify specific accommodations, ancillary services, or unique billing calculations or arrangements relevant to the medical claim. In…

CO-45 is a claim adjustment reason code used in medical billing. This code indicates a contractual obligation between healthcare providers and insurance companies. The “CO” in CO-45 stands for “Contractual…

Overview: When you visit a clinic, you typically interact with doctors, nurses, and medical assistants, but there are also unseen individuals who play a critical role in keeping the practice…

An entity code is used in medical billing to identify the type of entity billing for services. Practitioners, billing offices, and payers can assign entity codes. Using the wrong entity…