A patient walks into a clinic with knee pain. The doctor orders an MRI. The imaging center performs the scan. The radiologist reads it. The
Pre-authorization is approval from an insurance company that must be obtained before a medical service is provided. Without this approval, the insurance company can deny
What Is a Third-Party Payer and Why It Matters When a patient goes to a doctor, someone has to pay for that visit. Most of
Medical billing works differently depending on which type of insurance a patient has. Private insurance, Medicare, and Medicaid each have their own rules, payment rates,
When a patient has health insurance and goes to see a doctor, two situations can happen. The doctor might be in-network with their insurance, or
Medical billing works differently in private practices compared to hospitals. Private practices are small medical offices where one or a few doctors see patients. Hospitals
Hospital billing works differently depending on whether a patient stays overnight in the hospital or goes home the same day. These two types of care
Rheumatology is a medical specialty that treats diseases affecting joints, muscles, bones, and connective tissues. Rheumatologists see patients with conditions like arthritis, lupus, fibromyalgia, and
Medical billing has two main parts that work together to get healthcare providers paid. These two parts are called front-end billing(pre-service) and back-end billing(post-service). Understanding
Medical billing is the process that allows healthcare providers to receive payment for the services they give to patients. This process is not simple –
