Facility Billing Simplified: UB-04 Submission Common Pitfalls and Fixes
In the complex world of healthcare revenue cycle management, UB-04 claim forms serve as the foundation for facility billing. Whether…
Medical Billing Blog
The Future of Medical Billing in the AI Era: Why Human Expertise Still Matters
Artificial Intelligence (AI) is transforming every corner of healthcare — from diagnostics and treatment planning to scheduling and patient communication.…
MUE Management: Reducing Denials with Medically Unlikely Edit Strategies
In today’s healthcare reimbursement environment, efficiency and accuracy are critical to maintaining a healthy revenue cycle. Yet, even the most…
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.…
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…