OUR BLOGS

Is there really a 25% rule for complex cataract surgery? We checked. This guide compares CPT 66982 and 66984, explains what Medicare contractors actually require, and shows how to prepare for audits.

Demand ischemia and Type 2 MI sound alike but code very differently. This guide covers the verified FY 2027 codes, documentation requirements, common errors, four review scenarios, and a pre-claim checklist.

An editorial guide helping New York practices evaluate credentialing and enrollment partners, avoid delays, and protect revenue.

A practical 2026 guide covering the 7 most common delays, an 8-step process, and a readiness checklist dental practices can use today.

A practical buyer’s guide for Alaska urgent care operators evaluating billing & RCM partners.

Pediatric practices adapt to 2026’s new standalone immunization counseling codes while OB/GYN faces the biggest maternity-coding overhaul in decades (effective Jan 1, 2027). Compare coding, claims, denials, A/R, and RCM differences — plus readiness checks for both specialties.

CMS finalized FY 2027 IPPS with MS-DRG Version 44, new ICD-10 codes, and a 2.3% payment update. This guide covers what changed, documentation-to-payment risks, readiness checks, and tools for coding, CDI & RCM teams.

A practical comparison for Florida urgent care operators evaluating billing and RCM partners.

Licensed to practice ≠ ready to bill. Here’s how practice authority, payer credentialing, enrollment, and billing actually work including Medicare.

A dentist can hold a current license and an active NPI and still have an insurance application stall over an incomplete DataSpring (formerly CAQH) profile or a missing document. This checklist walks through what to prepare, how credentialing differs from payer enrollment, and where dentists get tripped up before their first claim goes out.

A single miscoded claim rarely stays a single problem it becomes a pattern. Here’s how to stop it before it hits your revenue.

Capsule endoscopy claims can look straightforward and still stall a thin interpretation, an unclear component split, or a missed authorization is often enough. This 2026 guide breaks down CPT 91110 versus 91111 and 91112, the documentation a claim actually needs, when Medicare and commercial payers diverge, and a claim-readiness checklist GI billing teams can run before every submission.

Most lost gastroenterology revenue disappears through small, unwatched gaps. Here’s how to close them.