Author name: Team UMBS

The Health Insurance Portability and Accountability Act (HIPAA) is one of the most significant regulations in healthcare. While it’s often associated with protecting patient data, HIPAA also plays a major role in shaping medical billing and provider credentialing. For healthcare providers, billing teams, and credentialing professionals, understanding how HIPAA affects everyday workflows is essential. A […]

Healthcare environment, running a successful practice requires more than excellent clinical care. Your revenue cycle—from patient intake to final payment—plays a critical role in determining your financial health. Many practices lose revenue not because of poor service but due to gaps, errors, or inefficiencies in their revenue cycle management (RCM). A proper review of your

Radiology services are among the most utilized—and most scrutinized—departments in modern healthcare. Yet due to complex CPT/HCPCS codes, modifier usage, NCCI edits, and payer-specific policies, radiology claims often lead to high denial rates, underpayments, or post-payment audits. This article outlines best practices in radiology billing and coding, from documentation through claims submission. It is designed

In 2025, staying on top of HCPCS (Healthcare Common Procedure Coding System) codes is essential for accurate medical billing, timely reimbursements, and regulatory compliance. As healthcare regulations and payer rules continue to evolve, medical billers need to sharpen their skills and stay informed. Whether you’re new to billing or a seasoned pro, this guide covers

Billing in healthcare can often feel overwhelming—for both providers and patients. While medical professionals focus on delivering excellent care, patients are left trying to make sense of complex, code-heavy, and unclear billing statements. This is where patient-friendly billing statements come in. In this comprehensive guide, you’ll learn everything you need to know about what patient-friendly

Navigating the complexities of medical credentialing can be a challenge for healthcare providers, particularly when it comes to seeing patients before a physician is fully credentialed. Whether you’re a new practice, a physician changing healthcare systems, or a practice that’s temporarily short-staffed, understanding how to see patients legally and ethically during the credentialing process is

A gastric emptying study (GES) is a diagnostic nuclear medicine procedure that evaluates how quickly or slowly the stomach empties its contents into the small intestine. It’s commonly used to diagnose gastroparesis (delayed gastric emptying) and other gastrointestinal motility disorders. The test involves consuming a standardized meal labeled with a radioactive isotope, followed by a

Keeping the right paperwork is very important. It helps providers get paid correctly and stay ready for audits or legal checks. One of the key documents is the EOB, which stands for Explanation of Benefits. Many providers often ask, “How long should I keep EOB statements?” This easy guide will explain what EOBs are, why

Durable Medical Equipment (DME) refers to medically necessary items like wheelchairs, oxygen tanks, hospital beds, and prosthetic devices that are used in a patient’s home to aid in daily living or recovery. In the Medicare system, DME plays a vital role in helping beneficiaries manage chronic conditions, recover from surgery, or maintain independence. To ensure