Trusted RCM and billing partner for physician practices and hospitals. Billed $1B+ over past 20 years for 100+ clients.
Introduction As small and mid-sized medical practices face increasing operational pressures in 2025, the need for efficient, reliable medical billing software has never been greater. From reducing claim denials to improving cash flow and maintaining compliance, the right software can make a huge difference. In this blog, we explore the top 7 medical billing software […]
Medical billing compliance is the backbone of revenue cycle management (RCM). With healthcare regulations constantly evolving, even minor compliance oversights can result in revenue loss, audits, or legal complications. For 2025, new compliance rules and coding updates are reshaping how healthcare providers must approach billing processes. Staying informed about these changes is crucial for protecting […]
In today’s fast-evolving healthcare landscape, practices are under constant pressure to reduce operational costs while maintaining high levels of patient care. Balancing these priorities can feel like walking a tightrope—but there’s a powerful solution gaining rapid momentum: Virtual Medical Assistants (VMAs). These remote professionals are transforming the way medical offices function by offering cost-effective administrative […]
Introduction Credentialing is a foundational process for any healthcare practice. It validates a provider’s qualifications and ensures they are authorized to bill insurance companies. Despite its importance, credentialing is often mismanaged, leading to revenue delays, compliance issues, and frustrated patients. In this blog, we break down common credentialing mistakes and offer actionable solutions to help […]
Decoding SNF Billing: Essential Occurrence Codes and Their Impact on Claims Navigating the world of Skilled Nursing Facility (SNF) billing can be complex, especially when it comes to understanding and using occurrence codes correctly. These alphanumeric indicators provide critical information that affects how claims are processed, reimbursed, or denied. Inaccurate usage can lead to delayed […]
Medicare Part D Changes 2025: New Coverage Rules, Costs, and Patient Benefits Revamping Medicare Part D: What to Expect in 2025 for Prescription Coverage, Costs & Benefits Medicare Part D, the prescription drug coverage plan for Medicare beneficiaries, is undergoing significant changes in 2025. These updates aim to reduce out-of-pocket costs, simplify coverage phases, and […]
Preventive vs. Diagnostic Care: CPT Codes & Billing Guide for Internal Medicine In the evolving landscape of internal medicine, understanding the difference between preventive care and diagnostic care is essential for accurate medical billing and optimal patient care. Both care types have unique CPT codes, documentation requirements, and reimbursement processes, which can often cause confusion […]
Mastering Orthopedic Billing: Joint Injections and Surgical Coding Essentials Mastering Orthopedic Billing: Joint Injections and Surgical Coding Essentials Orthopedic practices often face unique billing and coding challenges, especially when it comes to joint injections and complex surgeries. Accurate medical billing and precise coding are essential to ensure timely reimbursements and to avoid costly denials. In […]
Mastering Orthopedic Billing: Joint Injections and Surgical Coding Essentials Mastering Orthopedic Billing: Joint Injections and Surgical Coding Essentials Orthopedic practices often face unique billing and coding challenges, especially when it comes to joint injections and complex surgeries. Accurate medical billing and precise coding are essential to ensure timely reimbursements and to avoid costly denials. In […]
Everything You Need to Know About the 2025 ICD-11 Enhancements Everything You Need to Know About the 2025 ICD-11 Enhancements The World Health Organization’s 2025 edition of ICD-11 brings significant advancements designed to improve accuracy, interoperability, and ease of use across healthcare settings. As the U.S. prepares for the potential adoption of ICD-11-CM, understanding these […]
