No one likes surprise medical bills. That’s why VOB in Medical Billing, short for Verification of Benefits (VOB), is essential. A proper VOB check gives everyone a clear picture of insurance coverage before treatment starts, helping providers avoid denied claims and patients understand their out-of-pocket costs. In this blog, we’ll break down what VOB really […]
Medical billing connects patient care to payment, but the fundamental difference between hospital and physician billing is crucial to ensuring claims are paid correctly. Hospital and physician billing represent two distinct revenue streams: institutional billing (facility costs such as rooms, labs, imaging, and supplies) and professional billing (the clinician’s evaluation, procedures, and interpretation). When teams
Medical bills can be confusing and stressful. Many patients see numbers and codes on a bill and don’t know what they mean. That’s why it’s essential to have clear and easy-to-understand billing. An itemized bill in medical billing helps with this. It lists every service, supply, or procedure you received, showing precisely what you are
Managing the financial side of healthcare is just as important as providing quality care. That’s where Revenue Cycle Management (RCM) comes in. It covers every financial step from the moment a patient books an appointment to when the final payment is received. This includes registration, insurance verification, coding, billing, and collections. A robust Revenue Cycle
Medical front office assistants play a crucial role in every clinic, hospital, or private practice. They are often the first people patients meet, whether at the reception desk or over the phone. By greeting visitors, scheduling appointments, and maintaining organized records, they help the office run smoothly and ensure patients feel welcome. Their mix of
Are your administrative tasks taking too much time away from your patients? Managing a medical practice can be a challenging endeavor. Doctors and staff often spend too much time on paperwork and scheduling, which takes away from patient care. A medical virtual assistant can help by handling these tasks remotely, making the practice more organized
HIPAA is a federal law designed to protect patients’ privacy and ensure the safe handling of medical information. It provides a secure framework for storing, accessing, and sharing health data when necessary. For medical coders, HIPAA compliance is enforced in medical coding through strict guidelines, as they work daily with sensitive Protected Health Information (PHI).
Cardiovascular stress testing is a vital diagnostic tool that helps doctors detect heart problems and evaluate heart function under physical activity or medication. Over the years, the use of stress tests in the U.S. has increased significantly, highlighting their importance in cardiac care. However, studies reveal that many stress tests may be unnecessary, leading to
CPT Code 77080 is the billing code for DXA scans. This test measures bone density and helps detect conditions like osteoporosis early, since accurate coding is essential for timely reimbursement and proper insurance coverage. However, understanding CPT 77080 is vital for both healthcare providers and medical billers. In this guide, we’ll break down what CPT
Claim denials are a common challenge in medical billing, often causing payment delays and extra work for providers. Studies show that 15–20% of medical claims are denied at first, and about 5–7% of these denials happen because services are labeled “not medically necessary.” This is where the CO 50 denial code comes in; it means
In medical billing, modifiers are short two-character codes added to CPT (procedure) codes. They give extra details about a service, like exceptional circumstances, and help insurance companies decide if the service should be paid for. In podiatry, the Q7, Q8, and Q9 modifiers are especially important. They apply to routine foot care, which is usually
The healthcare industry is under more pressure than ever. Costs keep rising, patient demand is growing, and insurance companies are enforcing stricter reimbursement rules. For many providers, one of the biggest challenges is medical billing. Studies show that up to 80% of medical bills have errors, costing the U.S. healthcare system over $125 billion every
In medical billing, doctors and healthcare providers use Place of Service (POS) codes to show where a service was given. These are two-digit numbers created by the Centers for Medicare & Medicaid Services (CMS), which help insurance companies determine how to process claims and pay providers accurately. For laboratories, using the correct POS code is
Anemia is a health condition that happens when your body doesn’t have enough red blood cells or hemoglobin. Hemoglobin is the part of red blood cells that carries oxygen, so when levels are low, your body can’t get the oxygen it needs. Anemia can cause tiredness, weakness, shortness of breath, and, in serious cases, problems
ICD-10 Code F33.1 is the medical code for Major Depressive Disorder, recurrent, moderate. It’s part of the International Classification of Diseases, 10th Revision (ICD-10), A system used around the world so healthcare providers can describe, diagnose, and record health conditions in the same way. This shared “language” helps ensure patients get the right treatment, no
