Medical billing plays a crucial role in ensuring healthcare providers are accurately reimbursed for their services while maintaining compliance with payer and regulatory requirements. Proper billing practices prevent claim denials, reduce financial risks, and ensure transparency in patient care. As public program enrollments grow, compliance becomes even more critical to maintain accuracy and trust in every transaction.

The Affordable Care Act (ACA), enacted in 2010, is a comprehensive healthcare reform law that has significantly transformed the healthcare landscape in the United States. Its main goals are to expand access to health insurance, protect patients against arbitrary actions by insurance companies, promote wellness and preventive care, improve healthcare quality and system performance, expand the health workforce, and ultimately, reduce escalating healthcare costs.