A cost model for in-house medical billing: wages, benefits, software, enrollment, turnover and denial rework, plus the cost-per-collected-dollar comparison.
The Real Cost of Medical Billing in a Practice Read More »
Group denials by group code, CARC and RARC, split them by payer and owner, size the work with one month of 835 data, and fix the top three.
Denial Root Cause Analysis: From Denial Log to Fix List Read More »
A new address means a 30-day Medicare report, a form decision and payer contract updates. Here is the sequence, and why the first claims can pay the old rate.
Adding a New Practice Location: The 30-Day Clock Read More »
A no show fee is collectible from some patients and prohibited for others. The notice rule, the Medicare and Medicaid split, and the schedule fixes that work.
No Show Fee Behavioral Health: What Payers Allow Read More »
Global surgical package rules: the 0, 10 and 90-day periods, what the package includes, and the modifiers that pay an E/M inside it.
Global Surgical Packages: What Is Bundled and What Bills Read More »
The full cost of an in-house billing seat, what a percentage fee covers, what the practice gives up, and the contract terms that protect the change.
In House vs Outsourced Medical Billing: The Full Cost Read More »
A two-provider practice can run denial management in one hour a week. The queue rules, the appeal templates, and the three reports that bound it.
Denial Management for a Two-Provider Practice Read More »
Delegated credentialing moves the file work, not the liability. What the pre-delegation audit checks, what the practice still reports, and what fails late.
Delegated Credentialing: What You Keep When You Outsource It Read More »
Authorization, units, rendering provider, documentation, medical necessity and bundling: the six reasons behavioral health claims deny and the fix for each.
Behavioral Health Denials: The Six Reasons Behind Most of Them Read More »
E/M coding leveling runs on medical decision making or total time, one basis per encounter. Here is how each works and what the note has to show.
E/M Coding Leveling: Time or MDM, Pick One Read More »
