Expertly guiding you through Medical Billing with ease, simplicity, and confidence.
A superbill is a detailed record of services provided during a patient visit. For example, it might list CPT 99213 for ...
Answer: EOB stands for Explanation of Benefits, which is a document that explains how much of the medical services the insurance ...
Answer: A DRG (Diagnosis-Related Group) code is used for classifying inpatient hospital stays based on the diagnosis and treatments provided, impacting ...
Medical billers stay updated by: Attending training sessions: For instance, webinars from AAPC. Reading industry publications: Newsletters from the Healthcare Billing ...
Answer: A copayment is a fixed amount a patient pays for a service at the time of the visit, typically for ...
Answer: A contractual adjustment is the amount a healthcare provider reduces their charges based on an agreement with the insurance company. ...
Answer: RA codes explain the status of a claim on the remittance advice, indicating whether a claim was paid, denied, or ...
Answer: A remittance advice is a document sent by an insurance company that explains the status of a claim, including whether ...
Medical billing is the process of preparing and submitting claims to insurance companies to receive payment for healthcare services. For example, ...
Common errors include: Incorrect coding: Like using 99213 instead of 99214 for a complex visit. Duplicate claims: Submitting the same claim ...
Answer: A claim is a request for payment sent to an insurance company, while a bill is the statement sent to ...
Answer: The guarantor is the person responsible for paying the medical bills, often the patient or a parent/guardian. Example: A parent ...
Answer: A clean claim is one that is error-free and meets all the payer’s requirements, leading to prompt processing and payment. ...
Answer: A claims adjuster reviews medical claims to determine whether they should be paid, how much should be paid, and whether ...
The main responsibilities of a medical biller include: Coding medical services: Assigning codes such as CPT and ICD-10 to services, e.g., ...
Answer: A superbill is a document used by healthcare providers to itemize the services rendered to a patient, which is then ...
Medical coding involves assigning standardized codes to procedures and diagnoses, such as ICD-10 codes for diseases and CPT codes for services. ...
An ICD-10 code classifies and documents diseases and conditions. For instance, I10 is the code for essential hypertension. These codes are ...
Answer: The primary goal of medical billing is to ensure healthcare providers receive reimbursement for the services they provide, typically by ...
Answer: COB stands for Coordination of Benefits, a process used to determine which insurance plan pays first when a patient has ...