OPAT Billing Guide: How Infectious Disease Physicians Get Paid for Outpatient IV Antibiotic Therapy
An OPAT billing guide for infectious disease physicians: who bills what in the office, infusion center and home, 99417 vs G2212 prolonged services, infusion code sequencing, documentation, IV antibiotic prior authorization and the top denials.
Wyoming Medicaid and Medicare Billing Guide for Physicians: Enrollment, Timely Filing and Rural Practice Challenges
A Wyoming Medicaid billing guide for physicians: DyP enrollment and revalidation, the 12-month timely filing limit, Noridian JF Medicare rules, rural health clinic and critical access hospital basics, and the denials that cost Wyoming practices the most.
Combating Payer Recoupments: Why Payment Integrity Audits Demand Proactive Practice Defense
An adjustment code shows up on a remittance, pointing back at a claim paid more than a year ago. Recoupment risk usually enters a practice’s life in exactly that quiet stretch, between the payment that arrived and the payment that stays. A paid claim is not a finished claim. Every paid dollar sits inside a […]
Beyond Administrative Relief: How Virtual Medical Scribes Protect Practice Revenue and Clinical Documentation Integrity
The claim went out clean, got paid, and posted to the ledger. Four months later, an audit letter arrives asking for the note behind it. That note, dictated at nine that night from memory, reads thinner than the visit actually was. That gap is where the real virtual medical scribe benefits begin, because correct billing […]
Unlocking ABA Practice Growth: Proven Billing Strategies to Reduce Denials and Protect Revenue
ABA therapy billing strategies help behavioral health practices cut claim denials, close authorization gaps, and keep cash flow steady. Applied Behavior Analysis (ABA) billing is not like standard medical billing. It needs precise CPT coding, careful tracking of timed units, payer-specific authorization control, and clinical notes that support every unit. For ABA practice owners, getting […]
How to Reduce A/R Over 90 Days in Medical Billing
To reduce A/R over 90 days, identify every outstanding claim or patient balance older than 90 days, determine why it remains unpaid, and assign a specific recovery action. Prioritize high-value claims, denied claims, payer underpayments, missing documentation, and accounts approaching timely filing or appeal deadlines. Track each follow-up until the balance is paid, appropriately adjusted, […]
What Methods Can Be Used to Verify Patient Eligibility? A Practical Guide
Two weeks after the visit, the remittance comes back: coverage ended the day before the appointment. The patient said the insurance was good, and maybe someone even checked it in September, before the plan lapsed. Now the service is done, and the balance is aging against a payer that never owed it. Knowing how to […]
Why Aging A/R Is Killing Your Practice and How a Medical Billing Virtual Assistant Cleans It Up
Your practice can be busy every day and still run short on cash. Often, the problem is not patient volume. Instead, it is aging A/R: revenue from completed visits that sits unpaid for weeks or months while nobody owns the next step. What happens when claims stay unresolved? A rejected claim waits for correction. A […]
What Are 3 Different Types of Billing Systems in Healthcare?
Practice owners usually ask about the types of billing systems in healthcare when they choose new software or an outside billing partner. The answer shapes how much manual work your staff does, how fast claims go out, and how easily you can see where money is stuck. Quick answer: The three commonly cited types of […]
8 Minute Billing Rule: A Practical Guide to Medicare Physical Therapy Units
How many units should you bill when a physical therapy session lasts 23 minutes? What about 38 or 53 minutes? And does every payer count those units the same way? The Medicare 8-minute rule answers the first two questions, but only if your team applies it correctly and knows when a payer uses a different […]