Uninsured and self-pay patients are owed a written, itemized good faith estimate on a clock. Learn the content rules, the timing, and the $400 dispute.
The Good Faith Estimate: Compliance Basics for Practices Read More »
A wrong place of service code prices a claim at the wrong rate. See the codes that change Medicare payment, the facility gap, and the traps.
Place of Service Codes That Change Payment Read More »
An insurance records request is a claim on a clock. Learn the Medicare response windows, what to send, when a copy fee is allowed, and the aging trap.
Medical Record Request From Insurance: Deadline Rules Read More »
What a payer must tell you and your patients before a contract ends, the 90-day continuity window, and the revenue plan for the quarter after.
Insurance Contract Termination: The 90-Day Notice Read More »
How ASAM levels of care set SUD billing codes, trigger prior authorization, and drive the concurrent review that keeps treatment days covered and paid.
Substance Use Disorder Billing: Levels of Care and Authorization Read More »
