Blogs

If you billed $500,000 in claims last year, there is a reasonable chance that $60,000 of it quietly disappeared. Not because of fraud, not because of negligence, but because of a structural problem that affects nearly every medical practice in the United States: claim denials.

The 2025 CPT code update brings substantial changes, particularly for telehealth services. Understanding these updates is critical for accurate billing and maximum reimbursement.

Prior authorization requirements delay care and burden staff. The average practice spends 14 hours per week on prior authorizations. Here's how leading practices streamline the process while maintaining compliance.

Telehealth billing rules are shifting again in 2025. Understanding what's changing and what's staying the same is essential for maintaining revenue from virtual care services.

The HIPAA framework is vital for medical billing operations. High penalties and reputational damage from breaches mean that ensuring data security is essential for compliance.

When did you last review your payer contracts? Many practices leave significant money on the table with outdated rates or terms that don’t reflect current market conditions. A systematic contract analysis can reveal substantial revenue opportunities.

The 2021 E/M documentation guidelines changed how we code office visits. Are you capturing the complexity of care you provide? Many practices are still undercoding because providers haven’t fully adapted their documentation.