Resources
Medical Billing Resources, Guides and Reference Tools
Pillar guides, specialty and state references, glossary, and calculators.
Not everything belongs in a workflow. This section collects the reference material — the long-form guides you read once and return to, and the lookup pages you open while a claim is on screen.
The pillar guides are the deepest pieces on the site: one per major topic, written to answer a subject end to end rather than a single question. If you are trying to understand a whole area rather than solve one claim, start there.
Specialty pages cover the coding and billing rules that differ by discipline, because cardiology, behavioral health, and physical therapy each have their own modifiers, documentation expectations, and denial patterns. State pages cover Medicaid programs, workers' compensation fee schedules, licensure, and prompt-pay laws that vary by jurisdiction.
The glossary defines the vocabulary in one place, and the calculators handle the arithmetic that comes up constantly — reimbursement estimates and A/R measurement — without a spreadsheet. Patient-facing explanations live here too, for practices that want something plain-language to hand a patient who is confused about a bill.
Frequently asked questions
- What is a pillar guide?
- A comprehensive article covering an entire topic end to end, with the shorter articles in that cluster linked from it. Start with the pillar when you need context rather than a single answer.
- Why are there separate pages for each specialty?
- Because the rules differ. Behavioral health has time-based codes and parity rules, physical therapy has the 8-minute rule and therapy caps, and cardiology has device and diagnostic bundling — a general article cannot cover them honestly.
- Why do state pages matter for billing?
- Medicaid programs, workers' compensation fee schedules, prompt-pay statutes, telehealth parity, and licensure requirements are all set at state level and change independently of federal rules.
- Are the calculators accurate for my contract?
- They model standard formulas — Medicare fee schedule conversion and A/R days. Your contracted rates and payer-specific adjustments still need to be entered from your own fee schedule.
- Can I share these pages with patients?
- Yes. The patient section is written in plain language specifically for that purpose, covering EOBs, deductibles, balance billing, and surprise-bill protections.
Start with the reference desk
Glossary terms, code lookups and long-form guides — the parts of the site people come back to.
Open the glossary