Is Outsourcing Dental Medical Billing Secure and HIPAA Compliant?
Yes, outsourcing dental medical billing can be secure and HIPAA compliant when a dental practice works with a qualified billing partner that follows appropriate privacy, security, and data-handling procedures. Because outsourced billers may access protected health information (PHI), practices should verify how patient information is stored, transmitted, accessed, and protected. HIPAA compliance should not be […]
What Is “Cross-Coding,” and Which Procedures Qualify?
Cross-coding in dental medical billing refers to submitting a dental service to a patient’s medical insurance when the treatment is medically necessary and falls under the patient’s medical benefits. Instead of relying only on dental insurance and CDT coding, the practice may need to use medical diagnosis and procedure codes, such as ICD-10-CM, CPT, or […]
What Is Dental Medical Billing, Exactly?
Dental medical billing is the process of submitting and managing claims to medical insurance plans for dental-related services that qualify for medical coverage. Unlike traditional dental billing, which generally involves dental insurance and CDT codes, dental medical billing focuses on procedures that are medically necessary because they diagnose or treat an underlying medical condition. For […]
What Revenue Cycle Management Software Solutions Are Known for Providing Security?
Revenue cycle management (RCM) software handles highly sensitive healthcare information, including patient demographics, insurance details, claims, payment information, and protected health information (PHI). For that reason, secure RCM software should provide strong HIPAA safeguards, encryption, access controls, audit logging, secure data transmission, and appropriate compliance certifications. Several RCM platforms publicly document security measures such as […]
What Are Accounts Receivable Management Solutions for Small Businesses?
Accounts receivable (A/R) management solutions for small businesses are processes and services used to track outstanding invoices, follow up on unpaid balances, resolve payment issues, and improve cash flow. For healthcare businesses, A/R management also involves monitoring unpaid insurance claims, patient balances, denials, underpayments, and aging accounts. A small medical practice can improve A/R performance […]
What Are the Benefits of Outsourcing Medical Billing?
Outsourcing medical billing allows healthcare practices to transfer some or all of their billing and revenue cycle management (RCM) responsibilities to an external team with specialized expertise. Instead of relying entirely on in-house staff, practices can use an experienced billing company to manage tasks such as medical coding, claim submission, payment posting, denial management, insurance […]
How Long Should You Keep Medical Bills and Records?
How long you should keep medical bills and records depends on the type of record, applicable federal and state requirements, insurance rules, and whether the records relate to an active legal, tax, or billing matter. For patients, keeping medical bills and related documentation for several years can make it easier to resolve insurance disputes, verify […]
How Long Does It Take to Become a Medical Billing and Coding Specialist?
Becoming a medical billing and coding specialist can take a few months to about two years, depending on the education program, certification path, and amount of practical training you choose. A short certificate program may prepare you for entry-level work in several months, while an associate degree can take around two years. If you also […]
How Do I Bill Multiple Services During the Same Urgent Care Visit?
To bill multiple services during a single urgent care encounter, medical practices must use Place of Service (POS) code 20, select the appropriate Evaluation and Management (E/M) code based on documented Medical Decision Making (MDM), and append CPT Modifier 25 to the E/M code whenever a significant, separately identifiable procedure or test is performed on […]
Why Are My Same-Day Urgent Care Services Being Bundled?
Same-day urgent care services are bundled because insurance clearinghouses and commercial payers enforce strict National Correct Coding Initiative (NCCI) edit rules and modifier guidelines. When an urgent care center submits multiple service lines—such as an Evaluation and Management (E/M) office visit alongside rapid lab tests, X-rays, splinting, or suture repairs performed during the same walk-in […]
