Our Blogs

HCC Risk Adjustment Coding: Why Documentation Drives Medicare Advantage Revenue
HCC risk adjustment coding works differently from fee for service billing, and practices that treat the two the same way

Incident-To & Split/Shared Visits: The Rules That Decide Who Gets Paid
Incidents of billing rules produce more repayment demands than almost any other area of outpatient billing, and the reason is

Opening a New Practice: The Order to Set Up Billing & Enrollment
Most people building a practice think about the lease, the staff, and the equipment. New medical practice billing setup gets

Switching Billing Companies Without Losing a Month of Cash Flow
Most practices wait too long before switching medical billing companies. The service has been slipping for a while, aged receivables

Timely Filing Limits: The Deadline Chart Every Billing Team Should Keep
Timely filing limits by payer produce some of the most avoidable revenue loss in medical billing. A claim that arrives

Payer Enrollment Timelines: How Long Credentialing Actually Takes, Payer by Payer
Every practice that brings on a provider runs into the same wall. The provider is ready to see patients, the

Skilled Nursing Facility (SNF) Billing: PDPM Explained for New Administrators
Stepping into a skilled nursing facility administrator role means learning a payment model that decides how much the facility gets

Dental Billing vs Medical Billing: Why Dentists Need a Different RCM Strategy
Dental practices often run their billing like a smaller version of medical billing, and that is where the money leaks.

Workers’ Compensation Billing: Why It’s Nothing Like Regular Insurance Claims
A lot of billing teams walk into workers’ compensation thinking it works like any other insurance claim. It does not.
