What is EOR in Medical Billing?
In the world of healthcare and medical billing, understanding the processes that help manage and streamline the flow of patient information and payments is super important. One crucial term in this ecosystem is EOR, which stands for Explanation of Reimbursement. This document plays a key role in clarifying the financial aspects of healthcare services. While […]
What is Retrospective Authorization in Medical Billing?
In the complex world of healthcare and medical billing, understanding various authorization processes is crucial for ensuring proper reimbursement and minimizing claim denials. One of these processes, often overlooked but equally important, is retrospective authorization. This practice can have a significant impact on the revenue cycle management of healthcare providers. Here, we will explore what […]
What is VOB in Medical Billing?
Are you frustrated by frequent claim denials slowing down your revenue cycle? You’re not alone, and often, the root of the problem starts before the claim is even submitted. That’s where Verification of Benefits (VOB) comes in. VOB is a critical process to that confirms coverage upfront, helping reduce denials, prevent delays, and ensure your […]
What is Adjudication in Medical Billing?
The healthcare revenue cycle consists of adjudication, an essential yet frequently neglected stage. The fundamental understanding of adjudication terminology within medical billing becomes necessary for healthcare providers, medical billing professionals, and patients. Claims go through a series of actions determining insurance company payment approvals or rejections as part of this process. Such reimbursement accuracy depends […]
Skilled Nursing Facility vs. Rehab Center: How to Choose
A patient might be admitted to a specific care facility for surgery; sometimes, there is a need to distinguish between SNFs and inpatient rehab clinics. Both types of institutions perform vital rehabilitative services to elders. However, they differ in terms of the range of care and therapies. What is a Skilled Nursing Facility (SNF)? In […]
Understand the Basics of Ambulatory Coding
What is Ambulatory Coding? To get acquainted with ambulatory coding, knowing about ambulatory surgical centers (ASC) and their codes is important. Ambulatory or outpatient surgery offers same-day surgical care for a wide range of procedures. Definition of Ambulatory Surgical Centers (ASCs) Ambulatory Surgical Centers (ASCs) are medical facilities that specialize in outpatient surgical services. These […]
Group Therapy vs. Concurrent Therapy – What’s the Difference
While exploring the types and varieties of therapy, people frequently tend to weigh the merits of various healing processes. Two prominent choices that regularly emerge in discussions are group therapy and concurrent therapy. Both aim to guide people on their journey to mental well-being. Yet, they diverge substantially in methodology and supposed results. This exploration […]
What is the Difference Between Hospital Medicine and Internal Medicine?
Whether you’re a specialty clinic healthcare provider, part of a larger healthcare organization, or even a patient, if you’re involved in the healthcare field, you’re likely to encounter terms such as hospital medicine and internal medicine. Understanding the differences between these two areas helps you clarify how healthcare companies deliver patient care. Let’s explore the […]
Concierge Medicine vs. Direct Primary Care: What’s the Difference?
The choices people make regarding their primary care can considerably impact their overall wellness and health. As the requirement for patient-focused and customized healthcare grows, two prominent models have emerged: concierge medicine and direct primary care (DPC). Understanding the differences among these procedures is essential for anyone seeking healthcare that aligns with their values, preferences, […]
Radiology Coding Guidelines & Best Practices
Radiology coding can be of immense value in the medical sciences, mainly consisting of reimbursement and compliance codes. Since medical imaging services are delicate, it is essential to implement the current code requirement and other practices to avoid claims process failure. This blog focuses on explaining fundamental concepts and rules of radiology coding, discussing the […]