Imagine you performed a comprehensive treatment for a procedure, but after a few days, the insurance payer sends the reimbursement check directly to the patient. While rare, this can happen. The reason? Failure to get a signed assignment of benefits from the patient. In this guide, we have simplified what assignment of benefits in medical […]
What is an Assignment of Benefits (AOB) in Medical Billing? Read More »
Did you know that many healthcare practitioners get confused when it comes to the timely filing limit and appeal filing limit? As if medical billing were not intricate enough on its own, the terminology mix-up further complicates things. The reason is simple. Timing is not just a metric. It is the difference between revenue and
Timely Filing Limit vs. Appeal Filing Limit for Billing Claims Read More »
Perhaps, among their non-clinical duties, the most taxing task for healthcare providers is claim submissions. Why? Because they have to be careful about small billing details, otherwise they face reimbursement denials. In 2025’s Experian Research, over 40% of providers said that at least 10% of claims are denied. This is a worrisome statistic for medical
Claim Submission in Medical Billing Read More »
Did you know that the insurance verification market size reached a valuation of $2.39 billion in 2025? Besides, it is predicted to grow to $3.4 billion in 2030 at a CAGR of 7.2%. Remarkable! Isn’t it? These numbers are enough to underscore the significance of insurance verification in healthcare billing. Thus, most providers prefer using
Top 10 Healthcare Insurance Verification Software Read More »
Did you know that there are approximately 162,644 active medical residents and fellows in the U.S.? Among these, 82.3% are enrolled in specialty programs, and 17.7% are enrolled in subspecialty programs. These residents are the future of the U.S. healthcare system. Acknowledging their crucial role, the Centers for Medicare and Medicaid (CMS) introduced special billing
What is the GE Modifier in Medical Billing? Read More »
Do you frequently receive denials because of the intricate billing processes associated with add-on codes? You are not alone, so don’t worry. This is a problem that many billers encounter. However, we are here to assist you. By being aware of how CPT code 29826 is documented, other billing guidelines, and filing proper claims, you
Ultimate Guide to CPT Code 29826 Read More »
Did you know that with proper verification of benefits (VOB), you can reduce denials related to eligibility and prior authorization? Moreover, you get clarity into the patient’s financial responsibility. Wondering how? Because VOB in medical billing is an integral step that allows you to confirm a patient’s active insurance, specific coverage for services, and financial
What is Verification of Benefits (VOB) in Medical Billing? Read More »
Colonoscopies are one of the most performed procedures in gastroenterology. At the same time, they are also among the most challenging to bill. Why? Because colonoscopies have numerous types. Each is slightly different from the other. This leads to confusion and ultimately claim denials. CPT code 45330 represents a type of colonoscopy, called sigmoidoscopy. It
Ultimate Guide to CPT Code 45330 Read More »
Are you a healthcare facility wondering how to get paid for your ancillary services and patient stays? The UB-04 claim form is the key. It is a standardized form that payers accept for facility-related charges. However, understanding it requires attention to detail. Luckily, this guide covers everything you need to know about it, from its
What is a UB-04 Claim Form in Medical Billing? Read More »
The number of people with end-stage renal disease (ESRD) grew by 31.3% between 2002 and 2022. But what really adds to the predicament is that billing for ESRD care is complicated. Healthcare providers frequently experience denied claims, delayed reimbursement, and financial loss due to the complex billing and compliance requirements. Let’s not worry, though. Our
Ultimate Guide to CPT Code 90966 Read More »
