Time-Based Coding Deep Dive: Prolonged, Critical, and Telehealth Services
In the evolving landscape of healthcare reimbursement, time-based coding has become a crucial component of accurate documentation and appropriate payment.…
Medical Billing Blog
Price Transparency Rules in Action: How Good Faith Estimates Influence Patient Trust & Revenue
With rising healthcare costs and increasing consumer expectations, price transparency has moved from being a compliance requirement to a competitive…
IPA Billing Errors: Navigating Independent Physician Associations and Incorrect Claim Submissions
As value-based care continues to evolve, Independent Physician Associations (IPAs) have become central to the healthcare ecosystem. By providing a…
Implementing CLIA-Waive Testing in Clinics: Billing, Compliance, and Documentation
In recent years, the demand for convenient, accessible healthcare has driven the expansion of point-of-care testing (POCT) within clinics. Among…
Provider Directory Accuracy: The Hidden Impact of Wrong Listings on Denials and Referrals
In today’s value-driven healthcare system, accurate provider directories are not just an administrative concern—they are a fundamental aspect of operational…
Unlocking QMB Billing Benefits: What Providers Should Know About Qualified Medicare Beneficiary Rules
The Qualified Medicare Beneficiary (QMB) program is a critical support system for low-income Medicare recipients. While it offers essential financial…
Coding for Time-Based Services: Common Mistakes & How to Justify Time-Driven CPT Codes
In the evolving world of medical billing and coding, time-based services present a unique challenge. Unlike procedure-based billing, where the…
Credentialing New Providers Post-Certification: How to Onboard Before Full Enrollment
Bringing a new provider into your practice is an exciting milestone, but it also comes with administrative hurdles that, if…
Maximizing Revenue with Outpatient UB‑04 Mastery: A Guide to Facility Billing Accuracy
In the complex world of outpatient facility billing, the UB‑04 claim form stands as a foundational tool. Used by hospitals,…
Mastering CMS Medically Unlikely Edits (MUEs): Prevent Claim Rejections Before They Happen
Medical billing and coding is more than just assigning numbers to services—it’s a discipline that relies on precision, compliance, and…