What Are the 7 Prior Authorization Challenges in Mental Health?
According to the CAQH 2024 index report, every prior authorization request costs your practice approximately 24 minutes of provider and staff time.
Urgent Care Billing – POS, Surcharges & Weekend Rules
The single biggest problem urgent care providers face is revenue leakage from preventable denials
Home Health & PDGM: What Providers Need to Know for Claims That Get Paid
Every week, your team provides care for patients who require skilled assistance at home.
How to Lift First Pass Clean Claims with AI-Driven Edits
Healthcare providers are struggling with claim denials, with 60% reporting that denials are increasing year-over-year.
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.
Payment Posting Reconciliation: SOPs That Prevent Write-Off Errors
Every day, insurance payments, patient payments, and adjustments flow into your billing system.
5 Common Credentialing Mistakes and How a Calendar Prevents Them?
Credentialing new healthcare providers often takes several months (commonly 90–120 days), during which the provider cannot bill for services.
DME Billing Essentials: Navigating Loopholes in KX, CMN, Documentation, and Compliance
For healthcare providers, Durable Medical Equipment billing can often feel like walking through a maze of complex rules, modifiers, and documentation requirements.
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
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 […]