Category: Medical Billing
Home Health Billing Under PDGM: Where 30-Day Periods Quietly Cost You Revenue
PDGM pays home health agencies by the 30-day period, and every period gets scored independently on admission source,...
Radiology Billing: Getting the Professional/Technical Split Right Across Multi-Site Groups
Radiology reimbursement splits into a technical component, the imaging itself, and a professional component, the radiologist’s read. Multi-site groups...
Wound Care Billing: When One Debridement Procedure Needs Two Claims
A single wound care encounter often needs to be split across two claims, not because of a coding error,...
Dermatology Billing: Where Cosmetic vs. Medically Necessary Documentation Splits Your Claims
The same dermatology procedure can be medically necessary or purely cosmetic. What determines reimbursement isn’t the CPT code, it’s...
Behavioral Health Billing: Why Session Caps and Auth Renewals Break More Claims Than Coding Errors
Behavioral health practices lose more revenue to session cap overruns and expired prior authorizations than to CPT or...
Medical Billing KPIs Every Practice Manager Should Track in 2026
Eight KPIs give you an early warning system for your revenue cycle: days in AR, clean claim rate,...
Outsourcing Medical Billing: What to Expect in the First 90 Days
A well-run transition to outsourced billing takes 30 to 60 days to fully implement, with the first 90 days...
In-House Medical Billing Is Costing You More Than You Think
Payroll is only part of what in-house billing costs a practice. Denials, staff turnover, software, and lost AR speed...
Underpayments vs. Denials: Which One Is Draining Your Practice More?
Denials get attention because they stop cash flow outright. Underpayments don’t stop anything, they just quietly shrink it....