Explore insights, tips, and updates from the world of medical billing.
Showing 21 articles
Behavioral health rates in New York Medicaid originate from several agencies and rate files. This manual explains how OMH, OASAS, and DOH schedules adopt together in 2026, how APG pricing works, and how to avoid costly billing errors.
A practical guide to the 2026 Florida Medicaid DME fee schedule from AHCA: how to interpret the rate file, what limits and rental columns signify, how managed care plans pay, and what recent enrollment changes mean for suppliers.
New providers cannot bill insurance until credentialing and enrollment are complete. This guide explains each step, the documents you need, authentic timelines, general mistakes, and how to keep revenue running from the first day of service.
Claim denials leak chiropractic revenue. This guide explains the most common denial trigger, how to fix them with accurate CMT coding and documentation, and how a structured denial management process helps your practice regain more of what it earns.
A clear guide to coding pediatric vaccine administration: when to use codes 90460/90461 versus 90471–90474, and how to avoid the most common denials.
A practical guide to billing Medicare for durable medical equipment (DME) claims in 2026: provider enrollment, documentation, coding, and prior authorization rules to reduce denials.
A 2026 breakdown of occupational therapy CPT codes, approximate Medicare reimbursement rates, key modifiers, and billing rule changes practices need to know.
Physical therapy billing involves strict rules regarding coding, modifiers, and visit limits. Discover how specialized billing support helps physical therapy clinics reduce denials and get paid faster.
Billing for mental health services involves specific regulations and challenges related to payers. Discover how specialized billing support helps behavioral health practices in New York get paid faster.
A practical guide to prior authorization in 2026: what it means, how new CMS rules regarding response timeframes are changing the process, and how medical practices can reduce delays and denials.
Discover the key performance indicators (KPIs) essential for revenue cycle management that reveal how efficiently your practice bills, collects, and safeguards revenue, as well as how to improve each of them.
Discover what the Clean Claim Rate is, why it is important for your practice's cash flow, how to calculate it correctly, and what practical steps to take to consistently keep it above 95%.
