What is Double Billing in Medical Billing

The health care industry runs on continuous cash inflow from various sources like clients, suppliers, and health insurance payers, etc. This vast network connecting insured patients and doctors

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What is Accounts Receivable in Medical Billing

In medical billing, the term accounts receivable (A/R) refers to the money that you are yet to receive from your client(s) for the services you have billed or rendered

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Understanding COBRA in Medical Billing: Eligibility Criterias & Benefits

COBRA stands for Consolidated Omnibus Budget Reconciliation Act. It is related to the health insurance program that brings certain privileges for employees

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What is the Advance Beneficiary Notice (ABN) in Medical Billing

The Centers for Medicare and Medicaid Services (CMS) outlines that “the ABN is a notice given to beneficiaries in Original Medicare to convey that Medicare is not likely to provide

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What is a Superbill in Medical Billing

In medical billing, a superbill is a detailed invoice or receipt outlining the services provided by a health care provider to its patient/client.

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What are AR Days in Medical Billing

The term A/R days or accounts receivable days may be defined as the number of days that a medical billing office/hospital takes to collect the outstanding amount from an insurance

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What is Capitation in Medical Billing

The Centers for Medicare and Medicaid Services (CMS) designed various types of payment models to tackle the rising cost of medical services and provide the best possible medical care

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What is a PPS Code in Medical Billing

The Centers for Medicare and Medicaid Services (CMS) refers to the Prospective Payment System (PPS) as a “method of reimbursement in which Medicare payment is made

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What is Bundling in Medical Billing

Unlike balance billing, coding, insurance verification, and provider credentialing, etc, bundling in medical billing is the most complex type of billing. Incorrect bundling tends to result in rejected

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What is Balance Billing in Medical Billing

Medical billing is a complex process with various types of billings, charges, and medical claims. However, it gets more complicated whenever a patient receives a surprise bill.

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