Frequently Asked Questions

The No Surprises Act applies to patients who have insurance coverage but receive services from out-of-network providers, or when their insurance plan does not cover services provided by a specific provider or facility. More

CPT stands for Current Procedural Terminology. It is a standardized medical code set used to describe and report medical procedures and services. These codes are essential for accurate documentation, billing, and reimbursement in healthcare.

The billing cycle, or billing period, is the duration between the last statement’s closing date and the next one for financial products like credit cards, student loans, and auto loans. It involves recording transactions, payments, and fees and ends with the issuance of a statement. Understanding the billing cycle helps individuals manage their finances, make timely payments, and avoid interest charges or late fees.

Yes, you can outsource medical billing. Outsourcing medical billing is a common practice in the healthcare industry. Many healthcare providers choose to delegate their billing and administrative tasks to specialized companies or third-party vendors with expertise in managing medical billing processes. By outsourcing, healthcare providers can focus more on patient care while leaving billing tasks to professionals who specialize in this area.

An ICD-10 diagnosis code is an alphanumeric code used worldwide to classify medical conditions for tracking, reporting, billing, and clinical documentation purposes. These standardized codes represent specific diseases, injuries, or medical conditions, enabling consistent classification, communication, data analysis, reimbursement, and accurate documentation in healthcare.

A billing statement is a monthly document that summarizes financial transactions between a customer and a company, including purchases, payments, fees, interest, and the total balance owed. It helps track spending, identify errors, manage finances, and serves as a tool for budgeting and maintaining a clear transaction record. Paying bills on time is important for avoiding late fees and maintaining good credit.

Outsourcing can bring significant advantages to your business. It offers cost savings through lower labor expenses, access to specialized skills and expertise, improved focus on core competencies, and increased flexibility in managing your workforce. By leveraging the resources and capabilities of outsourcing partners, you can enhance efficiency, productivity, and overall business performance. Careful consideration and selection of reliable outsourcing partners can lead to successful collaborations that drive your company’s growth and success.

Yes, you can outsource medical billing. Outsourcing medical billing is a common practice in the healthcare industry. Many healthcare providers choose to delegate their billing and administrative tasks to specialized companies or third-party vendors with expertise in managing medical billing processes. By outsourcing, healthcare providers can focus more on patient care while leaving billing tasks to professionals who specialize in this area.

Our dedicated billing staff diligently reviews and files your claims within 24 to 48 business hours. To ensure the fastest and most efficient processing, we utilize electronic submission methods. This approach saves time, conserves energy, and minimizes human or administrative errors in the medical billing process. By prioritizing timely claim submission and leveraging technology, we strive to optimize reimbursement and streamline your billing operations.

At MedFactor , unpaid claims are promptly addressed. Our dedicated team actively follows up, investigates discrepancies, and provides necessary documentation. We initiate appeals if needed, leveraging our expertise to maximize revenue and ensure timely reimbursement.