ERA: A Gift Or a Curse?
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…
RVUs Explained: A Beginner-Friendly Breakdown
Are you under-coding without realizing it? Learn how RVUs impact reimbursement—and how small coding differences can lead to major revenue loss.
New Insurance ≠ New Patient
Is billing a new patient code with new insurance really worth the risk?
Approved Isn’t Paid: Why Claims Get Denied After Authorization
Many providers are fed up with insurance company behavior — especially when payers approve services, care gets delivered, and then later deny payment. It feels…
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Too Many Units? The Hidden MUE Rule Behind Dermatology Denials
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.
Behavioral Health and Addiction Counseling: Outpatient or Clinical
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.
REVENUE CYCLE MANAGEMENT AND ACCOUNTS RECEIVABLE MANAGEMENT
VITAL TO YOUR PRACTICE'S SUCCESS Revenue cycle management is essential to operating all clinical and administrative data that enters the hospital and your practice. With…
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Running an Effective Medical Practice
Most medical practices are hectic, and the physicians must be freed up to spend as much time as possible in helping patients through research and…
Transparency in Medicine
As defined by The Institute of Medicine (IOM), "healthcare transparency means making available to the public, in a reliable, and understandable manner, information on the…