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What Is Balance Billing in Medical Billing?

If you work in healthcare, you may have heard the term “balance billing” and wondered exactly what it means. Balance billing is...

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What Is Prior Authorization in Medical Billing?

Prior authorization is one of the most common and most frustrating parts of medical billing. It affects clinics, behavioral health practices, hospitals,...

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What Is a GZ Modifier?

The GZ modifier is a Healthcare Common Procedure Coding System (HCPCS) code used when submitting Medicare claims. It alerts Medicare that the...

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Top 10 Denials in Medical Billing (Common Denial Codes)

Denials are one of the biggest challenges in healthcare revenue cycle management (RCM). Rejected claims delay reimbursement, create administrative burdens, and can...

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In-House vs. Outsourced Medical Billing: Pros and Cons

Choosing how to handle billing can be a big decision for any healthcare practice. Should you keep billing in-house or trust an...

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What Is the 8-Minute Rule in Medical Billing?

Understanding Medicare's billing requirements can be challenging for healthcare providers, especially when it comes to time-based therapy services. One of the most...

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What Is the Difference Between Medical Billing Recoupment, Refund, & Reversal?

Medical billing is complex, and navigating post-payment corrections can be especially confusing. One misunderstood area is recoupments vs refunds vs reversals. All...

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