Medical Billing FAQs

Running a healthcare practice involves more than just patient care. It demands a strong understanding of the rules that govern reimbursement collection. Navigating the world of medical billing can feel complex, but staying compliant is essential for your practice’s financial health and reputation.  This guide will break down the core concepts of medical billing compliance. […]

Navigating the complexities of modern healthcare demands more than just clinical expertise. Providers and practices face mounting administrative burdens, particularly when it comes to revenue cycle management.  Ensuring timely and accurate reimbursement can feel like a constant uphill battle. But what if there was a strategic partner designed to shoulder these non-clinical yet critical tasks? 

Imagine receiving a recoupment request from an insurance payer in your mailbox or on your electronic health record (EHR) system, notifying you that $2,500 will be deducted from your next reimbursement. How would you feel? Shocked and appalled, right? Most probably, the first question on your mind will be, BUT WHY?  We are here to

Medical coding becomes more complex as you try to understand its various concepts. You start by understanding how the different coding systems work and the concept of modifiers to ensure coding specificity.  However, if you are a healthcare provider just kickstarting your career in the healthcare space, you may not know that you have to

Did you know that around 43 million people in the U.S. had multiple health insurance plans in 2021? Many people enroll in more than one insurance plan due to broader coverage. If you regularly attend to such patients, have you ever wondered how multiple insurance companies work together to cover the costs? The answer is

The old healthcare practices were all about improving patient care. But nowadays, healthcare providers must maintain good relationships with patients while managing documentation. So, how much time do you spend on recording everything versus on your patients? It is quite challenging for many clinicians to balance both tasks. Prioritizing one over the other can lead

Wondering why your healthcare provider gave you a receipt instead of your insurance company? Or, as a healthcare provider, have you ever thought about creating an effective superbill? We aim to clarify this confusion! Adding the right prefix can make anything sound important (we all know about Superman). However, a superbill is more than just

In medical billing, revenue codes are four-digit standardized numeric codes that provide information about the services, procedures, and products rendered to a patient at a healthcare facility. These codes are added to the hospital bill—UB-04 claim form, also known as the CMS-1450 form—to provide more details about the product or procedure, such as its type

Are you a therapist struggling to navigate a time-based service code and following through the 8-minute rule? Don’t worry because the billing specialists working at MediBillMD have comprehensively penned this detailed guide for you! This guide explores what the Medicare 8-minute rule entails and how it works. We will explain the rule’s application via some

What do you know about the charge capture process in medical billing? Your healthcare practice can lose a lot of money due to unbilled procedures. From routine office visits to complex services, insurance companies require a record of everything. Charge capture is just that! It protects your revenue and minimizes your losses. With the rising