Bundling and unbundling may sound like tech jargon. But in medical billing, they can make or break your claims. If you’ve ever dealt with denial codes like CO-97 or wrestled with CPT codes such as 99213, 90837, or 71020, you’ve likely run into these concepts already, maybe without realizing it.
If you’re in the medical billing and coding field, particularly for wound care, understanding and accurately using the right CPT (Current Procedural Terminology) codes is essential. Wound care coding can be tricky, but with the right knowledge, you can avoid common pitfalls and ensure better reimbursement. This guide will walk
Credentialing, contracting, and paneling all seem like steps in the same process, but they have distinct roles, and missing one of them can delay your ability to get paid, leave you off important provider lists, or create unnecessary financial headaches. Imagine you’re a licensed therapist, ready to expand your practice
Insurance credentialing is a crucial step for healthcare providers who want to expand their practice, increase client access, and ensure steady revenue. However, the process can be complex and time-consuming. Like many other healthcare providers and specialty physicians, mental health professionals also need to be in-network with insurance payers. So,
Have you ever delivered excellent care to a patient, sent the claim and then months later, found out you won’t be getting paid because you missed the medical claim submission deadline? If you’re a provider, office manager, or billing team lead, that sting is all too real. Timely filing limits
Prior authorization in medical billing is a crucial component of the entire process. Like medical coding and documentation, completing the billing process without prior authorization is challenging. Healthcare professionals must handle each aspect of prior authorization with proper attention. Especially, providers should carefully consider payor guidelines and legal aspects when
Running a medical practice involves juggling numerous responsibilities—from patient care to managing billing processes. Among these tasks, charge entry in medical billing is one of the most crucial elements that directly impact your practice’s revenue cycle. But what exactly is charge entry, and why should healthcare providers prioritize it? In
If you work as a general practitioner, nurse, or specialty physician, you need to have certain qualifications and evidence that explains your training and experience. In the United States, healthcare providers must adhere to a set of particular protocols. For instance, before entering your career, you need to complete a
The medical billing process from start to end can be confusing, especially when you encounter terms like “ABN” (Advance Beneficiary Notice). While this might sound like just another piece of paperwork, understanding what ABN is in medical billing and why it’s essential can make a significant difference in how healthcare
Understanding the Role and importance of a superbill is crucial for healthcare practices. A superbill is a comprehensive document that details the healthcare services provided to a patient, including associated costs, CPT codes, diagnosis codes, and provider information. This guide explores the superbill in medical billing, highlighting its significance in
At Medheave Medical Billing, we transform the healthcare revenue cycle with unmatched precision and dedication. As leaders in the medical billing industry, we excel in streamlining complex processes, ensuring accuracy and efficiency at every step.
©2025 | Medheave Healthcare Services LLC | All rights reserved.
