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Stay informed with the latest trends, tips, and best practices in medical billing and revenue cycle management. Explore expert insights to help you navigate the complexities of healthcare billing with ease

a woman struggling between eating a salad or donuts, showing how important medical billing for eating disorder treatment centers is
Medical Billing

Medical Billing for Eating Disorder Treatment: Why It’s So Complex and How to Get Paid

Eating disorder treatment billing is one of the hardest specialties in behavioral health. Parity enforcement is uneven, payer level-of-care criteria do not match clinical guidelines, and denial volume is high. Treatment centers that get paid consistently document against payer criteria, run concurrent review on schedule, and prepare for every peer-to-peer. Here is what makes ED billing so complex and what works.

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a surgical team working in an operating room which emphasizes the importance of medical billing for surgery centers
Medical Billing

Medical Billing for Surgery Centers – What Makes ASC Billing Different and How to Get Paid

ASC billing operates under its own rules: ASC Payment System indicators, multi-procedure discounts, implant pass-through, and a specific modifier set. ASCs that hire generalist billing support typically leak 5 to 12 percent of facility revenue. Here is what makes ASC billing structurally different from physician and hospital billing, and what works in centers that get paid consistently.

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a doctor in his office looking at us representing the importance of physicians billing in his practice
Medical Billing

Physician Billing: How Independent Practices Get Paid (and Why It Goes Wrong)

Physician billing covers the professional-fee side of healthcare reimbursement, distinct from facility billing. Independent practices typically leak 5 to 10 percent of potential revenue to E/M under-coding, modifier 25 errors, global period confusion, place-of-service mistakes, and incident-to gaps. Here is what physician billing is, where it goes wrong, and what good operations look like.

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comforting a girl during a therapy session, showing the need for billing services for mental health
Medical Billing

Mental Health Billing Services: What Practices Need to Know to Get Paid

Mental health billing is structurally harder than general medical billing: parity enforcement varies, level-of-care criteria conflict, concurrent review is aggressive, and behavioral health carve-outs add a second payer layer. Practices that get paid consistently build billing around criteria-aligned documentation, scheduled concurrent review, and granular denial analysis. Here is what to look for in a mental health billing service.

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consulting services at a meeting to discuss business growth
Consulting

Healthcare Consulting Services – When Practices Need One and What to Expect

Healthcare consulting services solve the problems internal teams cannot: rising AR, climbing denials, payer contracts that underperform, compliance gaps, revenue leakage no one can quite trace. The right engagement produces measurable change in the numbers within 90 days. Here is what consultants do, when to bring one in, and how to evaluate them.

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a group of businesspeople looking at us as they are part of utilization management in healthcare
Utilization Management

What Is Utilization Management in Healthcare? A Guide for Practice Owners

Utilization management decides whether a service is medically necessary, at the right level of care, and for the right duration. It happens before, during, and after treatment. For practices, weak UM is one of the largest hidden sources of denied claims and unfunded days. Here is how UM works and where it breaks.

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people sitting at a table and shaking hands, answering the question "what is medical billing"?
Medical Billing

What Is Medical Billing? A Practical Guide for Practice Owners

Medical billing is how a practice gets paid. It converts patient visits into insurance claims through a ten-step cycle, depends on three coding systems, and breaks down in repeatable ways. Here is what billing actually involves, why claims get denied, and how to decide between in-house and outsourced.

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