Resources · guides
Medical billing guides
Long-form, answer-first and dated. Each guide has a table of contents, original tables, a checklist you can print without giving an email address, and a review by the billing team. Sources are listed at the foot of every page.
Last reviewed by the Remitwright billing team. Editorial policy
All guides
- Recently updatedHow much does medical billing cost? In-house and outsourcedMedical billing costs in-house and outsourced: a biller's loaded cost, the cost-to-collect formula, a worked example, quote comparison and contract terms.Read the guide
- How to bill Medicaid for NEMT and get paid as a transportation providerBrokers vs fee-for-service, the trip record states require, codes and modifiers, submission, reconciliation and rejections.
- Home care billing: waiver, EVV, authorizations and PDGMHow home care billing works lane by lane: Medicaid waiver claims, EVV matching, authorizations, Medicare home health NOA and PDGM, VA and private pay.
- How to switch medical billing companies without losing claimsExit terms, data and login ownership, the parallel run, cut-over day and the months after.
- Medical billing KPIs: the numbers a practice owner should watchSix medical billing KPIs a practice owner should watch, with the formula for each, how to read it, what moves it and the benchmarks that have a source.
- How to bill for therapy sessions: a behavioral health billing guideWho can bill, psychotherapy codes by time, add-ons with E/M visits, crisis codes, telehealth rules and common denials.
- The claim submission process, and how to clear rejectionsEDI setup, clean claim edits, the 999 and 277CA, rejections, the filing clock and resubmission.
- How to post ERA payments, from the 835 to a balanced depositEnroll for ERA and EFT, match the 835 to its deposit, post by group code, route denials, handle PLB lines, reversals and credits.
- How to work claim denials: a step-by-step guideRead the CARC and RARC pair, find the root cause, choose the route, meet the deadline, log it and prevent it.
- How to bill Medicaid managed care plans: eligibility, routing, filing and disputesConfirm the plan on the date of service, route carve-outs, hold each plan's filing window and dispute denials.
- How to audit your medical billing: scope, sample, testing and the fix listSet the scope, draw the sample, test codes against the notes, trace payments, act on overpayments and assign each fix.
- How Medicare Part B billing works for a physician practiceMACs, enrollment, participation and limiting charge, fee schedule math, patient cost sharing, ABNs and payment timing.
- How to collect patient balances: estimates, check-in, statements and payment plansRead the PR lines on the remit, estimate before the visit, collect at check-in, send clear statements and set fair plans.
- How prior authorization works, from request to paid claimWhich payers require it, what a request needs, decision deadlines, the number on the claim and auth denials.
- Provider credentialing and payer enrollment, start to finishThe provider credentialing process explained: NPI and taxonomy, CAQH, PECOS, Medicaid and MCO enrollment, commercial payers, revalidation and held claims.
- Revenue cycle management, explained stage by stageBefore the visit, the claim and after it, who owns each handoff, and the metric to watch at each.
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