Essential CPT® Codes for Pathology Lab Billing: A Complete Guide
Pathology is all about understanding diseases by studying things like bodily fluids, tissues, and organs. It plays a vital role in helping doctors diagnose and manage various health conditions. But behind the scenes, getting paid for these services depends on accurate coding and billing. Healthcare providers use the Current Procedural Terminology (CPT) code set to […]
Skilled Nursing Facility (SNF) Billing Guidelines 2024
Skilled Nursing Facility (SNF) billing can be intricate, with numerous steps required to ensure financial success for your facility. Each aspect, from insurance verifications to claims submissions, needs careful handling to guarantee optimal outcomes. A smooth billing process not only helps your facility but also ensures that patients understand their financial responsibilities. Many patients struggle […]
How to Get Paneled with Health Insurance Companies?
Want to treat more patients and improve your practice? Joining insurance panels is a great way to expand your services and make them accessible to more people by partnering with well-known insurance companies. Not sure where to start with medical insurance paneling? Don’t worry, we’re here to guide you through the process. By understanding the […]
Urgent Care Medical Billing & Coding Guidelines 2024
Urgent care centers need to perform at the highest level to ensure that healthcare providers and insurance companies communicate seamlessly, leading to precise reimbursements. In 2023, a comprehensive study highlighted that urgent care clinics manage approximately 89 million patient visits annually, covering 29% of all primary care appointments and around 15% of outpatient visits across […]
Wound Care Billing and Coding: A Guide for Providers
Billing for wound care services can be much more complicated than billing for other specialties due to several specific factors. With high reimbursement rates for wound care procedures and supplies, it’s critical for both practitioners and billers to collaborate closely to maximize revenue. The stakes are high, and even small practices can see a substantial […]
What Is Electronic Remittance Advice (ERA) In Medical Billing
When a healthcare provider submits a claim, the health insurance company responds with an electronic remittance advice (ERA) file. This digital file serves as an Explanation of Benefits (EOB), explaining how the insurance company handled the claim. It details any adjustments made to the provider’s charges and the payments issued. If a claim is denied, […]