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 […]
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 […]
Timely Filing Limit for Medicare vs. Medicaid vs. Commercial Payers
Healthcare operations involve several moving parts, but one of the most important is submitting the health insurance claim form within the allowed timely filing limits. Missing this window can slow or even stop the flow of reimbursements from insurance payers. As a healthcare provider, your focus is on delivering patient care, but getting reimbursed for […]
NPI vs. Tax ID: What’s the Difference?
When it comes to medical billing, provider identification plays a major role in ensuring accurate claims submission and proper reimbursement. Two of the most important identifiers used in healthcare are the NPI (National Provider Identifier) and the Tax ID (TIN or EIN – Employer Identification Number). While they are often mentioned in the same sentence, […]
Top Cloud Based Medical Billing Software for Small Practices in 2025
Managing a small medical practice comes with its fair share of challenges. Between patient care, insurance claims, and billing, it can feel like there’s always something else demanding your attention. Billing, in particular, is one of the most time-consuming and often frustrating tasks for small practice owners. Effective management of accounts receivables is crucial for […]
New No Surprise Act Policies Brings Relief from Unexpected Medical Bills
Have you ever: These are some of the nightmare scenarios of Surprise Medical Bills, a problem that has burdened millions of Americans. That’s why the No Surprises Act, which came into effect in 2022 by U.S. federal law, is designed to protect patients’ healthcare costs from unforeseen or unexpected medical bills; particularly in emergency situations […]
