Getting paid isn’t the only reason for accurate medical billing; it’s also important for keeping the healthcare system working efficiently for both patients and providers. The circumstances can get confusing quickly when a lot of people have more than one insurance plan. That is where Coordination of Benefits (COB) comes in. COB lets insurance companies […]
Weight loss counseling is more than a supportive conversation; it’s a vital component of preventive healthcare. With over 41.9% of U.S. adults classified as obese (CDC, 2023), the need for structured guidance has never been greater. Obesity significantly increases the risk of chronic conditions such as type 2 diabetes (risk increased by up to 7
A medical coding audit helps ensure your documentation and codes are accurate, compliant, and optimized for reimbursement. Coding errors are somehow costly, leading to 80% of medical bills containing mistakes, and claim denial rates can reach 20% for some providers. Regular audits reduce denials, improve compliance, and strengthen your revenue cycle. Whether handled internally or
As healthcare costs rise and insurance plans become more complex, self-pay in medical billing is becoming increasingly common. More than 30 million Americans remain uninsured, and nearly 43% of insured adults are underinsured due to high deductibles and out-of-pocket expenses (Commonwealth Fund, 2023). Because of this, a lot of people are paying for their medical
Ever received a claim denial and wondered what went wrong? Denial codes are the key to unlocking that answer. These standardized codes are based on the Claim Adjustment Reason Codes (CARC) system, explaining why a claim wasn’t reimbursed and how you can fix it. One important code to understand is Denial Code PR 272, which
Did you know that over 160 million patients visit urgent care centers in the U.S. each year? It’s no surprise they offer fast, affordable care when you need it most. Urgent care visits can cost 30–50% less than a trip to the ER, making them the go-to choice for non-emergency health issues. But while patients
Laboratory Revenue Cycle Management (RCM) is the backbone of a lab’s financial health. It covers everything from patient registration to the final payment. When done correctly, it ensures that services are billed accurately and reimbursements are received in a timely manner. However, with rising complexities, tighter regulations, and changing payer demands, even the most efficient
Medical billing is more than just paperwork; it’s the engine that drives healthcare revenue. At its core lies coding, which translates patient care into standardised formats for insurance claims and reimbursement. But when codes don’t match the complexity of services provided, it can quietly cost providers thousands. This issue is known as downcoding. A standard
Ophthalmology medical billing isn’t just complex, it’s a constant balancing act of detailed coding, procedure-specific modifiers, and ever-changing reimbursement rules. One small mistake can mean delayed payments or lost revenue. That’s why, in 2025, more ophthalmology practices are choosing to outsource their billing to specialized experts. It’s not just about reducing errors. It’s about freeing
Medical billing denials can be frustrating, as they slow down payments and create extra work for your team. One code that frequently appears is CO 5. Understanding it is key to keeping your revenue flowing smoothly. In this blog, we’ll break down what the CO 5 denial code means, why it happens, and how you
Medical coding is more than just a formality. It’s essential for providing good treatment. Choosing the right ICD 10 codes for tick removal is crucial for accurate documentation, expedited insurance payments, and streamlined billing. Proper coding enables providers to focus on patient care while maintaining financial stability. In this blog, we are going to discuss
Credentialing is the backbone of quality healthcare. It ensures that every provider treating patients is appropriately trained, licensed, and experienced. It’s how healthcare organizations protect patients and maintain trust. In 2025, Medical Credentialing is witnessing a new era of provider verification. With rapid advances in technology, growing provider networks, and shifting regulations such as the
Getting your medical billing right is crucial to keeping your family medicine practice running smoothly and ensuring timely payment. Did you know that medical billing errors cost the healthcare industry over $125 billion annually? With so many different services you offer, from routine checkups to managing chronic conditions, using the correct CPT codes is a
Regarding medical bills, negotiating in today’s complex healthcare environment may appear daunting. Getting it done properly is about creating trust with your patients and being on the right side of the law, not just about controlling the funds in your account. That’s where regular medical billing audits come in. Think of them as your safety
Medical billing is difficult to grasp. With constantly changing codes, payer rules, and frustrating claim rejections, it’s easy for providers to get caught up in paperwork and forget to focus on their patients. In this case, medical billing services come in handy. Not only do these professionals handle the codes, but they also offer smart
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Resilient Medical Billing Service Pvt. Ltd. is on a mission to create a global community focused on simplifying medical billing processes and fostering seamless business interactions within the healthcare industry.
