Medical Billing & Claims Management

How claims move from charge entry to payment: clean claim submission, rejections, payer follow-up, and the billing workflows that keep cash flowing.

73 guides

All guides Medical Coding (ICD-10, CPT, & Modifiers)Medical Billing & Claims Management Specialty & Niche Medical Billing Revenue Cycle Management (A/R & Denials)Medicare, Medicaid & Compliance Guidelines Healthcare Marketing, Outsourcing & Growth Credentialing & Payer Enrollment Practice Management, EHR & Staffing Virtual Medical Assistants

EDI in Medical Billing: 837, 835 and 270/271 Explained

A plain-English guide to EDI in medical billing: the transactions your practice uses, the federal standards behind them, and how a claim moves from your system to the payer and...

Updated October 17, 2026Read the guide →

Do UFC Fighters Get Health Insurance? A Billing Team Guide

What Nevada's rule and UFC's 2011 announcement confirm about fighter medical coverage, what could not be verified, and how a billing team handles event-injury claims.

Updated October 14, 2026Read the guide →

Discover 5 Best Practices in Patient Eligibility & Benefits Verification

Discover top 5 best practices for effective patient eligibility and benefits verification to enhance RCM and patient satisfaction.

Updated June 12, 2026Read the guide →

Coordination of Benefits: Who Pays First on a Claim

How coordination of benefits decides the primary and secondary payer, including Medicare Secondary Payer rules, the birthday rule and how to bill a two-plan claim.

Updated October 14, 2026Read the guide →

Common Medical Billing Mistakes and How to Prevent Them

Eight common medical billing mistakes, where each one starts, and the checkpoint that stops it, based on CMS, KFF, OIG and eCFR sources.

Updated October 13, 2026Read the guide →

CMS-1500 Claim Form: Box-by-Box Guide for Medical Billers

A plain walkthrough of the CMS-1500 claim form: what each zone holds, which boxes cause rework, when paper is still allowed, and how to run claim creation.

Updated October 17, 2026Read the guide →

Clearinghouse Rejection Codes: What They Mean and How to Fix

A rejection is not a denial. Learn where clearinghouse rejection codes appear, how to read a 277CA, and how to correct and resubmit before the filing limit runs.

Updated October 13, 2026Read the guide →

Charge Entry in Medical Billing: Steps, Common Errors, Fixes

What charge entry in medical billing is, the data every charge line needs, when to enter it, the errors to watch for and who does the work.

Updated October 13, 2026Read the guide →

Celebrating National Latino Physician Day: Importance and Impact on Healthcare

Honor Latino physicians on National Latino Physician Day, highlighting their contributions and the need for diversity in healthcare. [Must Read Latest 2025]

Updated June 22, 2026Read the guide →

ASC vs HOPD Billing: Claim Forms, Payment and 2026 Rules

How billing and Medicare payment differ between an ambulatory surgery center and a hospital outpatient department, with the CY2026 rule facts and what is only proposed for 2027.

Updated October 13, 2026Read the guide →