Straight-talking articles on billing and revenue cycle, credentialing, state licensing and healthcare technology, written by the people who do this work every day for practices across all 50 states.
Initial claims, corrected claims, resubmissions, reconsiderations, and appeals each follow a different UnitedHealthcare deadline. This guide shows medical practices…
Read MoreInitial claims, corrected claims, and appeals each raise a separate deadline question with Cigna. This guide helps medical practices separate the three, check plan…
Read MoreCharge lag in medical billing is the delay between a completed service and the charge entering the billing workflow. This guide explains why delayed charges can put…
Read MoreAn approved prior authorization does not guarantee payment. This guide explains why a claim can be denied after prior authorization is approved, how to read the…
Read MoreCMS-0057-F places most of its API duties on payers, not practices, but the changes will reach practice workflows. This guide explains what the rule covers, what is…
Read MoreERA and EOB both describe the same payer decision on a claim, but they are built for different readers. This guide breaks down ERA vs EOB in medical billing…
Read MoreThe Aetna Medicare Advantage timely filing limit is the deadline by which your practice must submit a claim after the date of service. Miss it, and Aetna can deny…
Read MorePayers are reviewing and denying claims faster than most practices can appeal them. This article draws on insights from revenue cycle consultant Taya Gordon to walk…
Read MoreThe FY 2027 ICD-10-CM code set took effect October 1, 2026, and is now in force, with 238 new entries, a handful of revised descriptors, and 21 deletions. This…
Read MoreReading about denials, credentialing delays and licensing paperwork is one thing. Handing them to a team that does it every day is another. Tell us where it hurts and we will tell you honestly what we would do.
