What you don’t see? A system so complex it could bankrupt a small business if misunderstood. You only see the final bill. Swipe to see what even doctors don’t fully understand. You Thought Healthcare Billing Was Just Invoices? Think Again. Most people think: The Illusion of Simplicity Reality: Doctor treats Insurance pays You get a bill 3–7 payer entities involved 10,000+ potential claim pathways Dozens of billing codes per interaction Denials, delays, audits, clawbacks Who’s paying? The Payer Puzzle (but varies by state) , (PPO, HMO, POS) Each with its own forms, rules, codes, and billing timeline. One hospital visit Multiple bills Not All Care is Billed the Same Even the labs... separately. This cycle happens millions of times a day. The Claim Game 3 Letters That Rule It All Diagnosis code Procedure code (for time, place, side, etc.) Modifier A single wrong digit? → Denied. Delayed. Lost revenue. 34% of U.S. healthcare costs Admin overhead The Admin Cost Trap Billing complexity is not a side issue —it’s the business model. Why This Matters to You Whether you're a: CFO Employer Provider Patient You’re paying the price for a system designed with friction at every level. Understanding it = power. If this shocked you —good. Most people don’t see what’s behind the curtain. Because the more we understand the system, the more we can fix it. info@medicalbillersandcoders.com 888-357-3226