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Billing

Billing

medical billing training for staff

How Training Your Billing Staff Directly Increases Revenue and Reduces Claim Denials

If your practice is struggling with denied claims, delayed payments, or unpredictable cash flow, the issue often isn’t your EHR or your payer contracts — it’s training. Billing rules, payer edits, and documentation requirements are changing faster than most medical practices can keep up with. According to CMS Medicare billing and claims processing requirements, even […]
balance billing compliance

Balance Billing Compliance: How Your Medical Practice Avoids Penalties, Patient Complaints & Revenue Loss

Balance billing compliance is no longer just a hospital issue — it affects physician practices, ambulatory surgery centers, imaging centers, and specialty clinics. The No Surprises Act (NSA) and Good Faith Estimate (GFE) rules require you to rethink how your front desk, billing department, and compliance team communicate costs to patients. If your workflows are […]
Insurance claim denials

How to Fight Insurance Claim Denials and Turn Healthcare Laws Into Revenue

If your practice is dealing with more insurance claim denials than ever, you’re not imagining it. In 2026, payer denial rates remain high and inconsistent, with some insurers denying more than half of submitted claims while others deny very few. This lack of consistency creates major cash-flow issues, forces your staff into constant rework, and […]
Florida patient refund law 2026

How to Comply with Florida’s 2026 Patient Refund Law

Florida’s Patient Refund Law takes effect January 1, 2026, and it directly affects how your practice handles patient overpayments. If you collect more than a patient owes—even unintentionally—you are now on a strict clock to identify, process, and return those funds. This law is not just about awareness. It requires clear workflows, trained staff, documented […]
Evaluation and Management

What Your Practice Must Do Now to Get Paid for 99470, 99445, and RPM Services

The 2026 CPT code changes are no longer theoretical—they took effect January 1, 2026, and Medicare is already paying (or denying) claims based on them. If your billing team hasn’t updated workflows, documentation habits, and coding logic, your practice is likely missing reimbursement or triggering denials. These changes directly affect how Medicare recognizes physician time, […]
opt out of Medicare billing

Opting Out of Medicare Billing: What Your Practice Needs to Know (Before You Do It)

Opting out of Medicare billing isn’t just a physician decision—it’s a practice-wide operational shift that affects scheduling, billing workflows, patient communication, contracts, and revenue strategy. Front-desk staff, billers, managers, and compliance teams all play a role in getting this right. If your practice is struggling with low reimbursement, rising administrative burden, or constant Medicare rule […]
cms complaint form

Using the New CMS Complaint Form: What Medical Practice Staff Need to Know (and When to Use It)

If you work in a medical practice, you already know this truth: Medicare Advantage plans create more problems than they solve. Delays, denials, confusing requirements, and poor communication don’t just frustrate patients — they slow down your workflow, increase claim denials, and hurt the revenue cycle. Over time, these repeated issues drain staff time and […]
claim denials

Guaranteed Ways to Slash Claim Denials and Strengthen Your Revenue Cycle

If your practice is dealing with frequent claim denials, you’re not alone. Denials slow cash flow, increase staff workload, and create frustration across your entire revenue cycle. Over time, high denial volumes can quietly drain thousands of dollars from your practice and overwhelm your billing team. Every denied claim means delayed payment, extra staff time, […]

How to Prevent the 3 Most Common Medical Claim Denials

Every practice works hard to appeal claim denials and overturn them to get back the reimbursement they’re due. But what if you could spend less time on appeals by preventing medical claim denials before they happen? In some cases, you probably can. Check out three strategies to halt medical claim denials so you can collect […]