Telehealth Reimbursement Playbook: Navigating Audio-Only & Device-Based Care
Telehealth Reimbursement Playbook: Navigating Audio-Only & Device-Based Care Telehealth has evolved from a niche service to a mainstream healthcare delivery…
Medical Billing Blog
QMB Dynamics: Billing Ethics and Workflow for Medicare Savings Program Patients
Medicare billing is never simple, but when patients qualify for Qualified Medicare Beneficiary (QMB) status under the Medicare Savings Program…
Lean Onboarding: Credentialing Providers Quickly Without Billing Missteps
In the fast-paced world of healthcare, speed to revenue is everything. Whether you’re onboarding a new physician, nurse practitioner, or…
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…
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…