Rule Engines vs Manual Billing: Which One Scales Better?

Rule Engines vs Manual Billing: Which One Scales Better?

Every year across the healthcare industry, billions of dollars are lost because of claim denials, coding mistakes, and billing inefficiencies. Hospitals, clinics, and large systems spend time and money chasing unpaid claims and correcting errors.

Behavioral Health Credentialing Pitfalls Multi-Location Practices Should Avoid

Behavioral Health Credentialing Pitfalls Multi-Location Practices Should Avoid

Expanding clinics across multiple sites should unlock access, speed up intake, and stabilize revenue. It can do the opposite if credentialing stumbles. Each added location brings new variables like addresses and phone numbers, state licensure rules, payer panels, contracting nuances, directory listings, and billing configurations. Multiply those variables by the number of clinicians on your […]

Urgent Care Billing Explained: A Complete Guide to the Basics

Urgent Care Billing Explained: A Complete Guide to the Basics

Running an urgent care clinic is already a breakneck business; the patients walk in without scheduling a visit, the number of patients increases during flu seasons, and a provider can deal with sprained ankles to chest pain. To add to that, billing can be considered a second full-time job. The biggest struggle?  Claims are denied […]

In-Network vs Out-of-Network Billing: What Dentists Should Know

In-Network vs Out-of-Network Billing: What Dentists Should Know

Running a dental practice involves understanding network participation options. With profit margins averaging 35-40% and operational complexities increasing, the in network vs out of network decision affects revenue structure, operational workflows, and patient relationships. This in network vs out of network dental billing guide examines both approaches, exploring what each means for practice revenue, operations, […]

How is ASC Billing Different from Hospital Outpatient Billing

How is ASC Billing Different from Hospital Outpatient Billing

The percentage of outpatient surgery has risen significantly over the last few years. For providers, the difference between ASC billing and Outpatient surgery billing matters a lot. It affects things like how fast you get paid, how clean your claims are, and even how much patients pay. In ASCs, a specialized ASC billing process is […]

Outsourcing Medical Billing: Cost vs ROI

Outsourcing Medical Billing: Cost vs ROI

Intro: Outsourcing medical billing can save money, speed up payments, and reduce stress for your team. Instead of handling claims, denials, and paperwork in-house, you get experts who focus on getting you paid faster and more accurately. The cost depends on the pricing model you choose. The right setup can bring in more revenue than […]

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