Most billing errors don't come from carelessness; they come from gaps in training that never got closed.PIBS Academy already helps individuals prepare for medical billing…
Understanding the Benefits, Pitfalls, and Hidden Costs of Electronic Remittance Advice Every day, physician practices lose money not because claims weren't paid, but because they…
Are you under-coding without realizing it? Learn how RVUs impact reimbursement—and how small coding differences can lead to major revenue loss.
Is billing a new patient code with new insurance really worth the risk?
Many providers are fed up with insurance company behavior — especially when payers approve services, care gets delivered, and then later deny payment. It feels…
Continue reading → Approved Isn’t Paid: Why Claims Get Denied After Authorization
MUEs and MAIs are behind many “too many units” denials—often even when coding is technically correct. Understanding how these edits are enforced (claim line vs date-of-service) is key to preventing avoidable denials, modifier misuse, and unnecessary appeals. Strong billing decisions start with understanding the logic behind the rules.
In today's society, the demand for effective coping skills is paramount, as substance abuse rates soar. A staggering 70% cite unaddressed issues as the root of their struggles. While healthcare providers are evolving to meet mental health needs, the complexities of billing remain a major hurdle, demanding clarity and support for proper reimbursement.
For new physicians/providers/NPs, here is a step-by-step guide on building a lucrative medical practice without the hassle of needing an intermediary! You deserve 100% of…
Continue reading → E-Book Release: Starting Your Practice For Beginners
Modifiers are among the essential tools medical billers and administrators have in their arsenal. They can clarify complicated procedures, indicate special circumstances, and more. This…
Continue reading → Modifiers: What are they, and why do we care about them?