Frequently Asked Questions

We operate across the U.S., offering virtual billing and RCM support to healthcare providers of all sizes.

We focus on accuracy, transparency, and client satisfaction not just claim submission.

Any healthcare provider from solo practitioners to large hospitals — can partner with us for smoother billing.

Medical billing is the process of submitting and following up on insurance claims to ensure healthcare providers get paid for their services efficiently.

The two main forms are CMS-1500 for professional claims and UB-04 for institutional or hospital billing.

It involves managing patient claims, verifying insurance, coding services, and ensuring prompt reimbursements for healthcare providers.

A Type of Bill (TOB) code identifies the facility type, bill classification, and frequency for claim processing.

A complete RCM strategy integrates accurate charge entry, claim scrubbing, denial management, and reporting for maximum revenue recovery.

We handle everything from claim creation to payment posting ensuring faster reimbursements.

Absolutely, we work seamlessly with most major EHR and billing software platforms.

Every claim is reviewed by certified billing experts before submission to minimize denials.

Yes, our AR specialists track every unpaid claim and take timely action for resolution.

Yes, every client gets a dedicated account manager for personalized support and communication.

Yes, we maintain strict HIPAA compliance and use encrypted systems for all data handling.

Yes, all operations strictly follow HIPAA and healthcare industry regulations.

Yes, we help new practices set up billing systems and handle credentialing.

Because we combine experience, transparency, and technology to deliver measurable results for every client.

CPT codes are standardized medical codes used to describe healthcare services and procedures for accurate billing and insurance claims.

There are over 10,000 active CPT codes covering evaluation, procedures, surgeries, and medical services.

Common CPT codes include 99213 (office visit), 90791 (psych eval), 90834 (therapy session), 93000 (ECG), and 36415 (blood draw).

The Medicators offers medical billing and RCM services for multiple specialties including psychiatry, pain management, internal medicine, cardiology, orthopedics, pediatrics, dental, behavioral health, and more.

We proudly serve healthcare providers across Texas, New York, Florida, California, Illinois, New Jersey etc. offering reliable, HIPAA-compliant billing and credentialing support nationwide.

Denials usually occur due to incorrect coding or missing documentation, The Medicators ensure clean claim submission and precise CPT usage to minimize denials.

Yes, we manage billing for in-person and telepsychiatry visits, ensuring correct modifiers and payer compliance for full reimbursement.

Our experts track session duration and apply time-specific CPT codes (like 90832, 90834, 90837) to prevent underbilling or claim rejections.

Yes, we handle dual-service psychiatry billing, separating therapy and evaluation codes for maximum reimbursement without compliance issues.

We strictly follow HIPAA regulations, safeguarding sensitive mental health data through secure, encrypted billing systems.

Dental billing involves multiple insurance rules and CDT codes, The Medicators simplify it with accurate coding and claim tracking.

Yes, we analyze rejected claims, correct errors, and follow up with payers until every dollar is recovered.

Yes, The Medicators handle billing for general dentistry, orthodontics, periodontics, oral surgery, and prosthodontics with precision.

Our certified coders use the latest CDT and ICD-10 codes, reducing errors and improving claim acceptance rates.

Denials often stem from coding errors or missing modifiers. The Medicators ensure precise CPT and ICD-10 coding to reduce rejections.

Yes, we handle complete billing for inpatient, outpatient, and telehealth visits, ensuring proper documentation and payer compliance.

Our certified coders accurately map multi-diagnosis encounters, ensuring every service is captured for optimal reimbursement.

The Medicators continuously monitor payer updates, ensuring timely code changes and compliance to avoid costly claim rejections.

Yes, we manage coding and billing for all interventional pain services, including epidural injections, nerve blocks, and RF ablations.

Our experts audit each claim to verify payer contracts and identify underpayments, ensuring you receive the full reimbursement you deserve.

The Medicators take care of all pre-authorization requirements, reducing delays and ensuring compliance before claim submission.

Yes, we manage billing for all cardiology diagnostics and procedures, ensuring each test is properly coded for full reimbursement.

Our billing specialists track post-operative global periods to prevent duplicate billing and ensure compliance with payer rules.

Yes, we handle billing for invasive, non-invasive, and interventional cardiology practices with specialty-specific precision.

The Medicators continuously monitor CMS and payer updates, applying the latest CPT and ICD-10 codes to keep your claims compliant and accurate.