Medical Coding - expEDIum Solutions Blog

Effective Strategies for Patient Collections During Deductible Period

By Suvarnna Babu October 24, 2025

Have you ever noticed that patient payments often lag during certain times of the year? This typically happens when patients are navigating their deductible period—the time when they are responsible for a significant portion of healthcare costs out-of-pocket. With the…

Understanding Payer-Specific Rules: A Guide for Efficient Claims Management

By Suvarnna Babu June 5, 2025

Are Payer Rules Holding Back Your Revenue Cycle? If you've ever had a claim denied for what seemed like a small oversight—like a missing modifier or an outdated CPT code—you’re not alone. For healthcare providers and billing teams, navigating payer-specific…

Medical Billing vs. Medical Coding in Healthcare

By Anupriya Oraon April 18, 2024

While both sound similar, medical billing and medical coding are distinct parts of healthcare administration that work together to ensure providers receive payment for their services. While both are involved in the revenue cycle, they have distinct functions and require…

How to Avoid Unbundling in Medical Billing?

By Suvarnna Babu April 8, 2024

Ever submitted a seemingly perfect medical claim, only to have it denied for unbundling? It's a frustrating scenario, leaving you wondering where the error lies. Unbundling in medical billing happens when you bill for individual components of a service, rather…

How to Avoid Up-Coding and Under-Coding in Medical Billing

By Suvarnna Babu April 5, 2024

Imagine a world where every patient interaction translates smoothly into the appropriate financial compensation for your practice. Sounds idyllic, doesn't it? In reality, the intricate dance between medical services and reimbursement hinges on a crucial factor: accurate medical coding. Unfortunately,…

Claim Denied: The 5 Common Mistakes You Need to Avoid

By Anupriya Oraon February 6, 2024

Denying a claim can lead to financial losses for clinics, hospitals, or providers. Denials of claims can be prevented by understanding the common errors that result in them and preventing them from occurring is the first step to a smoother…

Commonly Used Modifiers in Medical Billing: Explained and Simplified

By Suvarnna Babu July 6, 2023

Medical billing is a complex process that requires careful attention to detail. To ensure accurate reimbursement, healthcare providers and medical coders often utilize modifiers. Modifiers are two-digit codes added to procedure codes to provide additional information about the services rendered.…