Medical billing is the process of submitting claims to insurance companies or patients for reimbursement of medical services, involving coding, claim generation, and following up on payments to ensure healthcare providers get paid.
If you work in medical billing or you’re a patient trying to make sense of your insurance paperwork you’ll run into Anthem Blue Cross sooner or later. As one of the largest health insurers in the U.S., Anthem covers millions of members, and that means it also processes millions of claims every year. The upside? … Read more
Abdominal pain is one of the most common reasons patients show up at clinics, urgent care centers, and ERs. From minor digestive issues to red-flag emergencies, it covers a wide spectrum. For billers and providers, that means precision in ICD-10 coding isn’t optional—it’s essential. Here’s the thing: ICD-10 doesn’t offer a one-size-fits-all code for abdominal … Read more
Introduction: Why This Isn’t Just a Desk Job People often think medical billing and coding is just data entry. Sit at a desk, punch in numbers, file claims, done. But if you’re already in this field—or seriously considering it—you know it’s more than that. You’re decoding clinical language, applying complex reimbursement rules, ensuring providers get … Read more
If you’re asking “What is hospice care?” you’re likely facing a hard situation. Either you’re supporting someone near the end of life, or you work in a field like medical billing where understanding care delivery and reimbursement is critical. Either way, you deserve clear, honest answers without euphemisms or generic fluff. This guide breaks it … Read more
Whether you’re handling billing in a nephrology clinic or navigating the world of chronic kidney disease (CKD) as a patient or provider, one thing remains clear—ICD 10 codes for kidney care are essential for everything from proper reimbursement to effective care coordination. In this guide, we’ll decode the complexity behind ICD 10 for kidney care, … Read more
The Annual Wellness Visit (AWV) is more than a simple check-up, it’s a preventive service designed to create a personalized roadmap for better health. But behind this routine-sounding appointment lies a crucial aspect of medical billing: accurate ICD 10 coding. In this guide, we’ll unravel what the ICD 10 for annual wellness visit entails, how … Read more
The ICD-10 system isn’t just about codes—it’s the language of modern healthcare. And in the field of mental health, where diagnoses can be nuanced and overlapping, ICD 10 for mental health becomes even more essential. Whether you’re a clinician, a mental health biller, or simply someone trying to understand how this coding system works, this … Read more
Whether you’re a medical biller, coding student, or healthcare provider, understanding commonly used ICDs in medical billing is essential. ICD codes (short for International Classification of Diseases) are the foundation of diagnosis coding and crucial for accurate billing, claim processing, and compliance. But with over 70,000+ ICD-10-CM codes, how do you know which ones are … Read more
In the world of medical billing, accuracy isn’t optional—it’s everything. One wrong digit in a CPT (Current Procedural Terminology) code can delay reimbursements or even cause a denial. But among the thousands of CPT codes available, some show up far more frequently than others. Understanding the most commonly used CPT codes in medical billing can … Read more
When you file an insurance claim, especially for medical procedures or hospital visits, you expect it to be handled fairly and promptly. But then—out of nowhere—a denial letter lands in your mailbox. Confused? Frustrated? You’re not alone. Understanding why insurance denied the claim is critical, not just for resolving the issue at hand, but also … Read more
