HIPAA-Compliant Billing Checklist 2025
HIPAA-Compliant Billing has become significantly more complex. Healthcare data breaches hit over 133 million records in 2024, and enforcement fines are regularly hitting over $1 million per violation now. Healthcare organizations are facing some serious risks here. Things got even trickier in 2025 when HHS dropped the first major Security Rule update since 2013. We’re […]
What Are the Cardiology Billing Challenges Providers Face? How to Overcome?
Introduction U.S. healthcare providers lose over $125 billion each year due to billing errors. Cardiology practices alone lose 5–8% of revenue to claim denials, coding mistakes, and missed payments. These losses add up quickly and can hurt the financial health of any practice. Cardiology billing is detailed and time-consuming. It involves multiple procedures, changing rules, […]
Internal Medicine Billing Alert: Audio-Only Telehealth Expires Sept 2025!
Will one line in the Medicare Final Rule erase an entire revenue stream from your internal-medicine billing ledger overnight? Imagine: it’s October 1, 2025. You open your dashboard expecting the usual deposit, but instead you see a wall of denials stamped “NON-PAYABLE — AUDIO-ONLY.” The claims that just yesterday generated $50 apiece are suddenly classified […]
Guide To Choosing The Best Credentialing Service For Mental Health Providers
Credentialing is the process of verifying and validating a healthcare provider’s qualifications, licensure, training, and professional background before they are allowed to practice or bill insurers. For mental health professionals in the U.S. such as therapists, counselors, psychologists, and psychiatrists, proper credentialing is essential to join insurance networks (getting “paneled”), comply with regulations, and receive […]
Know Everything Before Switching Medical Billing Companies Cost, Downtime & Payback Explained
Are you considering outsourcing your medical billing to a new vendor? A switch can raise collections, cut denials, and free staff yet one overlooked detail can stall cash flow for weeks. Providers worry most about three facts: total cost, expected downtime, and true payback time. Hidden setup fees, data-migration errors, or a slow clearinghouse link […]
In-house vs. Outsourced Medical Billing: Which is Right for Your Maryland Practice?
Choosing the right billing approach for your practice can make all the difference in your revenue cycle success. In-house and outsourced medical billing both have their advantages for Maryland healthcare providers. This guide will help you decide which billing environment is best for you. The decision to manage medical billing in-house or partner with medical […]
In-House vs. Outsource Medical Billing Services: 7 KPIs That Define Your ROI
By 2025, healthcare finance teams will face unprecedented billing challenges, including strict regulatory changes, AI-driven workflows, complex interoperability, and growing cyber threats. Experts predict that providers will increasingly leverage in-house automation and targeted outsourcing rather than broad vendor contracts. In this context, traditional metrics (denial rates, collection rates, etc.) are insufficient. The following seven KPIs […]
Common HCPCS Pitfalls in Radiology Billing and How to Avoid Them
Radiology practices often overlook separate charges for key items, such as imaging supplies, contrast dye, and radioactive tracers, because they focus more on the primary scans and diagnoses. When staff neglect to bill for these costly materials, practices lose revenue and risk compliance violations. A single error in billing for radioactive tracer can cost $1,000 […]
OB-GYN Billing Global-Period Changes You Should Know
If you’ve been hearing about major changes to OB-GYN billing in 2025, here’s the reality. The changes are smaller than the buzz suggests. Most of your OB-GYN global billing stays the same. The core CPT codes haven’t changed, and the global package concept remains identical. Only one specific area changed. New telehealth CPT codes were […]
7 No Surprises Act Billing Rules for Private Practices in the USA
What Is the Federal No Surprise Act? The No Surprises Act is a federal law (effective January 1, 2022) designed to protect patients from unexpected medical bills, especially when they unknowingly receive out-of-network care. In simple terms, if your private practice provides services to patients with private health insurance, you can no longer bill patients […]