CPB (Certified Professional Biller) Certification Practice Exam

What is meant by the "billing entity" in the context of medical billing?

1. Between

2. The legal business name of the provider's practice

3. Same

4. Within, into

The correct answer is: The legal business name of the provider's practice

The billing entity refers to the legal business name of the provider's practice. This entity is responsible for submitting claims to insurance companies, handling billing disputes, collecting payments, and ensuring compliance with healthcare regulations. Understanding the billing entity is crucial in medical billing, as it defines who is financially and legally accountable for the services rendered. In medical billing, accurate identification of the billing entity ensures that claims are processed correctly and payments are directed to the appropriate entity, minimizing confusion and potential delays in revenue collection.