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, […]
Tips For Managing Affordable Medical Billing For Small Practice
Running a small practice comes with its own set of challenges, and one of the most crucial aspects is managing your medical billing efficiently. The quicker you can get reimbursed for the care you provide, the better your practice can maintain healthy cash flow and sustainable growth. By optimizing your billing process, you can significantly […]
An Ultimate Guide to Medical Billing for Marriage and Family Therapists (MFTs)
As the world of healthcare continues to change, Marriage and Family Therapists (MFTs) are increasingly recognized for their vital role in helping people with mental health and relationship challenges. With more people seeking mental health support, it’s more important than ever to get medical billing right. For both therapists and billing professionals, understanding how MFTs […]
POS 11 in Medical Billing: Your Essential Guide to Outstanding Success
When doctors and other healthcare professionals provide care, they typically do so in environments like hospitals, private practices, clinics, or medical offices. These are smaller, community-based settings rather than large government or corporate institutions. In medical billing, these environments are identified by specific codes known as ‘place of service’ (POS) codes. For instance, POS 11 […]
Dental Credentialing for New Practice? Get Expert Advice
Dental credentialing is crucial for the effective operation of dental practices and their collaboration with insurance networks. Although it can be complex and time-consuming, understanding the process helps practices anticipate challenges and improve efficiency. By mastering credentialing, practices can save time and avoid future complications. This article will explain what dental credentialing is, its key […]
How To Succeed In Mental Health Credentialing With Insurance Companies
Mental health credentialing is a process that offers therapists both opportunities and challenges. Still, becoming insured is one of many therapists’ top priorities. Let’s look at all that provider credentialing entails and ask the most critical question: Is it worth it? Why Credentialing Matters? For mental health providers, insurance credentialing is crucial for establishing trust […]
Provider Credentialing and Re-Credentialing Requirements
Credentialing and Re-Credentialing: When a healthcare facility hires a new nurse, physician, or other staff member, they need to go through credentialing or re-credentialing. This process checks the new hire’s skills, qualifications, and other credentials, and gets approval from the insurance providers the facility works with. Many people think credentialing is done once a provider […]
A Step-by-Step Guide to Insurance Credentialing for Therapists
Credentialing for Therapists: If you’re a therapist seeking to expand your practice or someone in need of therapeutic services, understanding insurance credentialing is key. As therapy demand rises, therapists must navigate the complexities of insurance credentialing, a process that can significantly shape the success and accessibility of their practice. Insurance Credentialing Overview Insurance credentialing, also […]
Latest ABA Therapy CPT Codes 2024
ABA Therapy: Managing Autism Spectrum Disorders (ASD) can be challenging, but Applied Behavior Analysis (ABA) therapy has proven to be effective in improving social, communication, and behavioral skills. Although often recommended for children with ASD, adults can also benefit from this specialized treatment. Healthcare providers and insurance companies need to be familiar with the correct […]