Texas Two-Step Rule for Provider Enrollment: How Physicians Bill Correctly During TMHP Credentialing Lag
The medical billing services Texas practices rely on for Medicaid work have to handle a sequence that catches new providers […]
Medical Billing
Massachusetts Pharmacy Billing for Independent Drugstores: PBM Rules, MassHealth Fills & Reimbursement Timelines
The pharmacy billing services Massachusetts independent drugstores depend on have to account for something chain competitors mostly ignore. Independent status
California Workers Comp Medical Billing: The OMFS Fee Schedule & DWC-1500 Rules Every Practice Should Understand
The medical billing services California practices rely on for workers compensation work operate under a system that shares almost nothing
Florida Blue & Florida Medicaid Coding Rules: Payer-Specific Modifiers Coders Get Wrong
The medical coding services Florida practices rely on have to handle something most states do not demand in the same
Illinois Medicaid Billing Rules for HFS Providers: What Changed & What Still Trips Practices Up
Any conversation about medical billing services Illinois providers depend on starts with the same fact. Illinois Medicaid does not operate
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