August 25, 2025
Credentialing in Healthcare & Medical Billing: The Ultimate Guide to Getting Paid
Ever wondered why it takes forever for a new doctor to start seeing patients at your clinic? Or why did your insurance company deny that perfectly valid claim? The answer lies in credentialing—the unsung hero of healthcare administration. Think of it as a super-rigorous background check that ensures providers are qualified to practice and get […]
August 17, 2025
ICD-10 Codes for Hypothyroidism: The Complete Guide for Healthcare Providers
Consider you’ve just finished seeing a patient for a follow-up on hypothyroidism. Labs are stable, meds are adjusted, and your EHR auto-fills “E03.9 – Hypothyroidism, unspecified.” You click submit, move on with your day… and a few weeks later, the claim comes back denied. Sound familiar? Hypothyroidism is one of the most common endocrine disorders […]
August 14, 2025
Psychotherapy Codes for Psychologists: A Billing Guide
Billing for psychotherapy isn’t just about putting numbers on a claim form—it’s about selecting the correct CPT codes to reflect the service provided accurately. Whether you’re a psychologist, psychiatrist, social worker, or counselor, correct coding ensures you get reimbursed properly and stay compliant with payer requirements. This guide walks you through the main psychotherapy CPT […]
August 7, 2025
Incident To Billing: A Comprehensive Guide
If your practice bills Medicare for services provided by non-physician practitioners (NPPs) — like nurse practitioners, physician assistants, or clinical nurse specialists — then you’ve probably heard of “incident-to” billing. But let’s be honest, the rules around it aren’t exactly easy reading. One missing signature or documentation error, and you’re looking at denied claims, audits, […]
July 30, 2025
Explanation of Benefits (EOB) in Medical Billing: A Complete 2025 Guide for Providers
When a healthcare provider submits a claim, and the insurance payer processes it, the first thing the provider (and often the patient) receives isn’t always the payment—it’s the EOB, or Explanation of Benefits. If you’ve ever been confused by it, you’re not alone. Let’s break it down together—what EOB means, what it includes, how to […]
July 16, 2025
POS 11 in Medical Billing: A Comprehensive Guide for Healthcare Providers
In the world of healthcare, accurate billing is essential for maintaining a healthy revenue cycle. One crucial aspect of medical billing is understanding the Place of Service (POS) codes, which define where medical services are provided. Among the various POS codes, POS 11 plays a vital role in healthcare billing. As part of Medix Revenue […]
July 8, 2025
Denial Code 256: Common Reasons and How to Avoid Them
Medical claim denials can significantly impact medical practices’ revenue growth. When an insurance payer denies a medical claim, it returns the claim form to the provider and explains the reasons for the denial. These reasons are usually indicated shortly in the form of codes, which are usually known as denial codes in medical billing. Healthcare […]
June 17, 2025
What Is Charge Posting in Medical Billing?
Charge posting refers to the process of entering billing codes and associated charges into the medical billing system after a patient visit. It typically begins with a superbill a document containing diagnosis codes, procedure codes, and provider details. From there, the information is reviewed and submitted by the charge entry team to generate claims for […]
June 12, 2025
The Guarantor in Medical Billing: A Complete Guide
Medical billing can be complex, with multiple parties involved in ensuring that healthcare providers receive payment for their services. One of the most critical—yet often misunderstood—roles in this process is the guarantor. What Is a Guarantor in Medical Billing? A guarantor is the person legally responsible for paying a patient’s medical bills. This individual guarantees […]
May 2, 2025
End-To-End Medical Billing Workflow From Patient Visit To Reimbursement
End-to-end Medical Billing Services manage the complete billing process for healthcare providers. These services guarantee timely reimbursements, fewer denials, and accurate claim submissions. A well-managed billing system is vital for maintaining a healthy cash flow and allows medical practices to focus more on their core function of patient care without being weighed down by administrative […]
April 18, 2025
What is Revenue Cycle Management in Healthcare?
Revenue Cycle Management (RCM) is the financial backbone of healthcare organizations, tracking every step of patient care — from registration and appointment scheduling to final payment. It encompasses both clinical and administrative tasks, including medical coding, insurance verification, billing, and copayment collection. By streamlining these processes, RCM plays a critical role in maintaining the financial […]