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What is Bundling and Unbundling in Medical Billing?

What is Bundling and Unbundling in Medical Billing?

Bundling and unbundling are two widely used terms in medical billing. Medical billing services providers use appropriate methods to describe their payment methods to insurance companies and some government programs. Billing accuracy depends on the accuracy of the CPT code. Healthcare service providers analyze a patient’s record and then choose the correct code that completely […]

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Benefits of Electronic Medical Billing Services

Benefits of Electronic Medical Billing Services

Electronic medical billing services offer many benefits. Medical billing service providers are also changing as the world moves from traditional paper-based systems to electronic or digital systems. Electronic or digital billing helps healthcare providers improve their management processes, reduces administration costs, and enhances patient care.  This article will explore the advantages and benefits of electronic […]

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Guide to Insurance Eligibility Verification in Medical Billing

Guide to Insurance Eligibility Verification in Medical Billing

Insurance eligibility verification in medical billing refers to the process in which the team members of medical billing understand entirely the patient’s insurance coverage for medical services. They also cover the financial responsibility of the patient. Before the medical services are scheduled, complete the patient’s verification. Let’s start to understand the insurance eligibility verification.  Importance […]

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In-House vs. Outsourced Medical Billing

In-House vs. Outsourced Medical Billing

Medical billing is submitting and following up on claims to insurance companies to receive payments for healthcare services provided to patients. The main goal of medical billing is to ensure that healthcare providers receive complete and accurate service payments. Efficient medical billing enhances patient satisfaction by providing accurate billing information.  In this blog, you will […]

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Types of Denials in Medical Billing: A Complete Guide

Types of Denials in Medical Billing: A Complete Guide

Medical billing plays a critical role in the healthcare system. It ensures that healthcare providers get paid for the services they offer. However, not every claim submitted to insurance companies gets approved. Denials are common and can disrupt providers’ cash flow. Understanding the different types of denials in medical billing is essential for reducing errors […]

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credentialing and recredentialing process

Understanding the Credentialing and Recredentialing Process

In the healthcare industry, Credentialing and recredentialing are both critical processes. These processes ensure that medical providers meet safe and effective care standards. But what exactly do these terms mean? What makes them so crucial? Let’s explore the details one by one. What Is Credentialing? Credentialing verifies whether or not healthcare providers are certified. A […]

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how to set up caqh, is caqh mandatory

How to set up CAQH? Is CAQH mandatory? 

If you are looking for guidance about setting up a CAQH (Council for Affordable Quality Healthcare) profile or want to know if the CAQH (Council for Affordable Quality Healthcare) is mandatory, you’re at the right article. If you are a healthcare provider, setting up a CAQH is essential. In this article, we will explain how […]

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What Is ERA Enrollment?

What Is ERA Enrollment?

Electronic Remittance Advice (ERA) enrollment allows healthcare providers to receive payment details from insurance companies electronically. ERA is a digital version of the Explanation of Benefits (EOB), providing detailed information about claims processed, payments made, and any adjustments or denials. In simpler terms, ERA replaces the traditional paper-based remittance advice with a faster, more efficient […]

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