OUR BLOGS

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.

A practical comparison of remote RCM providers for Wyoming urgent care practices, with key questions to ask before you choose.

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 confident sales pitch isn’t enough. Use these 10 questions, a live stress test, and a 50-point scorecard to evaluate any neurology billing company before you sign.

Not sure when CPT 96374 is the right IV push code? This 2026 guide covers initial-service sequencing, 96374 vs 96375 vs 96376, documentation, modifiers, NCCI edits, and a checklist to run before you submit.

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

Hydrogen breath testing and CPT 91065 look simple on paper until documentation, substrate protocol, Medicare's NCD 100.5 coverage rules, and payer-specific edits all have to line up before a claim goes out. This 2026 guide walks GI billing teams through the code, the documentation it requires, when Medicare actually covers it, common denial triggers, and a claim-readiness checklist to run before every submission.

A practical guide to the coding, authorization, denial, and payer challenges unique to Texas GI practices.

From multi-procedure claims to prior auth and denials — see how a specialty-focused RCM partner makes GI billing cleaner, faster, and more complete.

An editorial comparison of top RCM partners for Arkansas practices from rural clinics to specialty groups.

Where GI claims stall and the structured process that recovers them before they become uncollectible.

One denied urology claim is a hiccup. The same denial showing up again next month is a workflow problem. This guide breaks down the most common reasons urology claims get denied, why simply resubmitting isn't a strategy, the denial-management workflow that actually prevents recurrence, and the RCM metrics worth tracking to catch the pattern early.

Not all billing vendors are built for Nebraska's mix of urban commercial-payer practices and rural Medicare/Medicaid-heavy clinics. Here's a transparent comparison of 10 companies, a KPI primer, an evaluation checklist, and the exact questions to ask before you sign anything.

Michigan’s complex payer landscape demands more than generic billing. Here’s how the top RCM partners stack up.

It describes cystourethroscopic insertion of a permanent adjustable transprostatic implant (prostatic urethral lift) for BPH. Learn correct coding with 52442, documentation requirements, and how to prevent denials.

CPT 55700 no longer exists for 2026 dates of service it’s been replaced by eleven new prostate biopsy codes. Learn the 55705–55715 family, documentation requirements, common denial triggers, and a pre-submission checklist.

Learn how to correctly report CPT 52442 with base code 52441, meet documentation requirements, avoid common denials, and keep multi-implant claims clean.

Struggling with CPT 52601 TURP claims? This 2026 guide covers documentation checklists, modifier guidance, global period rules, common mistakes, denial workflows, and RCM tips to keep claims clean and compliant.

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What actually determines whether CPT 52000 is billable and why “separate procedure” isn't permission to unbundle. This guide breaks down the documentation, NCCI bundling rules, modifier decisions, and denial-prevention workflow urology billing teams need before a cystoscopy claim goes out the door.