Anesthesia pays on base units plus time units times a conversion factor. See how each unit is set, who documents it, and where claims quietly lose money.
Anesthesia Billing: Base Units, Time Units and Modifiers Read More »
Track appeal overturn rate by payer, reason code and appeal level, and use recovery per appeal filed to pick which denials your practice should fight.
Tracking Appeal Overturn Rates by Payer Read More »
CAQH, now DataSpring, holds the credentialing record. Availity hosts the payer portals where applications and claims move. Here is which system owns what.
CAQH vs Availity: Where Enrollment Data Actually Lives Read More »
Track ABA authorization units, expiration dates and reauth triggers so sessions stay inside the approved balance and payers keep paying for them.
ABA Authorization Tracking: Units, Dates and Reauth Triggers Read More »
How a small practice runs clinical documentation improvement: the note patterns that lose money, compliant queries, and asking clinicians for clarity.
Clinical Documentation Improvement for Small Practices Read More »
Switching billing vendors costs A/R when the handover is sloppy. The data to demand, the Medicare and payer notices, and a 30-day proof nothing was dropped.
Changing Medical Billing Companies Without Losing A/R Read More »
How to write an appeal letter that gets paid: quote the denial reason, cite the plan or policy basis, attach the record, and state the ask.
Appeal Letter Medical Billing: How to Get Paid Read More »
How behavioral health credentialing works for LCSWs, LPCs, LMFTs and BCBAs: Medicare categories, supervision rules and the deadlines that lapse.
Behavioral Health Credentialing: LCSW, LPC and BCBA Enrollment Read More »
What 97151 covers, how 97152 fits around it, how units are counted, and the assessment detail payers read before they approve ABA treatment hours.
Autism Evaluation Billing: 97151 and the Assessment Package Read More »
Auth mismatches, expiries and missing approvals drive denials. Plus the 2026-27 payer timelines under CMS-0057-F and what they change for your practice.
Prior Authorization Is Where Your A/R Actually Goes Read More »
