Blogs

When practice owners think about HIPAA compliance, the focus often lands on the clinical side of operations: patient records.

Every year, the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) release updates to the code sets that drive medical billing.

Switching medical billing companies is one of the most effective ways a practice can improve its financial performance.

Revenue leakage in medical practices rarely announces itself. There is no alarm, no sudden drop in deposits, no obvious moment where a practice can point to a billing system failure.

If you are running a small medical practice, one to five providers, the question of whether to handle billing in-house or outsource it to a dedicated company is one of the most consequential financial decisions you will make.

Ask most medical billing companies how they handle denials and you will hear some version of the same answer. We have a denial management team that reviews and resubmits claims.

When a medical claim gets denied, most practice managers focus on the obvious loss: the reimbursement that did not arrive. But the true cost of a denied claim runs considerably deeper than the unpaid amount on the explanation of benefits.