What is MIPS in Healthcare? A Comprehensive Guide
Discover how MIPS in Healthcare impacts provider payments, quality reporting, and Medicare reimbursements. Learn strategies to optimize scores, improve patient care, and stay compliant.
The Impact of AI on Modern Revenue Cycle Management in Healthcare
Out of rejected claims, human mistakes, and protracted billing processes, traditional medical billing services are a time and profit-wasting exercise. Nowadays, AI in Revenue Cycle Management (RCM) is becoming the most disruptive aspect of healthcare, money-making-enhancing the accuracy, reducing the administrative load, and improving the cash flow faster than ever. And as medical billing is […]
Mastering Accounts Receivable for Medical Billing Success
Strong accounts receivable in medical billing helps practices reduce unpaid claims, speed up reimbursements, and avoid revenue loss. When A/R is managed well, denials drop, cash flow improves, and payment cycles become faster. This guide explains A/R types, aging buckets, follow-up strategies, and proven methods to boost financial performance for any healthcare practice.
Top Common Credentialing Mistakes That Hurt Your Revenue Cycle
Nearly 70% of credentialing-related claim denials are fully preventable, yet practices lose thousands each month due to missed details and late paperwork. This guide breaks down the most common credentialing mistakes and how to stop them from damaging your revenue cycle.
Medicare Global Surgery Updates 2025: Coding and Billing Changes Explained
The 2025 Medicare Global Surgery Updates bring important changes to coding, documentation, and reimbursement rules that every provider must understand. This article breaks down the new global period guidelines, modifier updates, and billing requirements to help practices stay compliant and avoid claim denials.
Chronic Care Management CPT Codes: A Provider’s Guide For 2025
Have you ever thought of how many Americans have two or more chronic conditions (more than 133 million)? Medicare providers are paying millions of dollars every year in Chronic Care Management (CCM) programs. However, over 40 percent of practices that are eligible for this revenue fail to achieve it due to the inability to bill […]
Which Telehealth Modifier Do You Need for Billing?
Choosing the right telehealth modifier is essential for clean claims and accurate reimbursement. This guide breaks down the most commonly used telehealth modifiers 95, GT, and FQ/FQ and explains when to use each one so providers can bill confidently and avoid denials.
Free Checklist: 10 Steps to Clean Mental Health Billing
Improve your mental health billing accuracy with our Free Checklist: 10 Steps to Clean Claims. This essential guide walks therapists through the most important steps to prevent denials, reduce errors, and accelerate reimbursements. Perfect for any practice looking to streamline their billing workflow.
New Insurance Billing Rules Affecting LMFTs and LPCs in Massachusetts
New insurance billing rules in Massachusetts are reshaping how LMFTs and LPCs submit claims and get reimbursed. This update impacts credentialing, supervision billing, and Medicare enrollment requirements. Here’s what every therapist needs to know.
In-House vs Outsourced Medical Billing: What’s Better for Therapists?
Deciding between in-house and outsourced medical billing can be tricky for therapists. Explore the pros and cons of each approach to find the solution that saves time, reduces errors, and maximizes revenue.