Resources
Practical billing guides for practice owners
Billing, credentialing and revenue cycle topics explained in everyday language, with each term defined where it first appears.
7 min read
Revenue cycle management explained: how a practice actually gets paid
Revenue cycle management (RCM) is the full set of tasks that turn a patient visit into money in the bank: checking coverage, coding the care, sending the claim, posting the payment and chasing whatever is left. Medical billing is one stage inside it.
Read the guide6 min read
CAQH credentialing: a working guide to ProView and re-attestation
CAQH credentialing means keeping a full, current provider profile in CAQH ProView, the online database many health plans read before they approve a provider. A profile that is incomplete or stale stops the approval.
Read the guide6 min read
ERA in medical billing: what it is, how it differs from an EOB, how to post it
An ERA, short for electronic remittance advice, is the electronic document a payer sends a practice to explain how each claim was processed: what was paid, what was adjusted and what the patient owes. An EOB tells the patient the same story.
Read the guide6 min read
CMS-1500 or UB-04: choosing the right claim form
Use the CMS-1500 when a physician or other provider bills for their own services. Use the UB-04 when a hospital or similar facility bills its charges. Their electronic versions are the 837P and the 837I.
Read the guide7 min read
What medical billing companies charge, and how to compare quotes
Medical billing companies generally charge a percentage of collections, a flat monthly fee, a per-claim fee or a mix. A percentage is the most common. Bilscure billing starts at 2.9%* of collections, set by monthly collections, providers and locations.
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Browse by topic
Guides sorted by the stage of the cycle they cover
- 01
Claims and payments
How a claim is built, sent and paid, covering claim forms, remittance advice and the figures that show whether the cycle works.
- 02
Credentialing and enrollment
How payers approve providers, from CAQH profiles to Medicare enrollment, and what a delay costs.
- 03
Choosing and pricing billing help
What billing services charge, how the models differ and the questions to ask before signing.
Each guide links to the service that handles the task: medical billing, credentialing and pricing.
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