Top 10 Questions to Ask Before Choosing a Credentialing Partner If we are to talk about the importance of credentialing in the simplest way, then it is the one that decides whether your clinic runs smoothly or struggles every single day. It controls how fast a new doctor can start working, whether claims get paid…
10 KPIs Every Clinic Owner Should Demand From Their Medical Billing Partner Running a successful clinic has never been easy, but today, the challenges are sharper than ever. Owners face a complicated mix of rising operational costs, stricter payer scrutiny, staff shortages, and the increasing influence of value-based care. According to a 2024 MGMA report,…
How to Audit Your Medical Billing Workflow in 30 Minutes If you’ve worked in medical billing and coding for long enough, you know the system looks complicated from the outside. Claims touch so many hands (such as front desk, coding, clearinghouse, and payers) that most people think auditing it must take days. That’s true if…
How to Cut Accounts Receivable Days to Under 30 Reducing the time it takes to collect money from payers (called Days in Accounts Receivable) to fewer than 30 days may sound like a dream, but it is possible, and many high-performing clinics do it every day. This guide brings together insights from revenue cycle management…
Why Modifiers 25 and 59 Are Still the Most Misused Codes in 2025 (And How to Fix It) In the world of U.S. healthcare billing, Modifiers 25 and 59 continue to be two of the most misunderstood and misused codes, even as we move through 2025. Year after year, industry organizations like the AAPC and…
A Dive into the Future of Medical Finances According to the Centers for Medicare & Medicaid Services, total healthcare expenditure is projected to reach $6.2 trillion by 2028. As this inevitability unfolds, the financial outlook of the healthcare industry takes on a contrasting yet increasingly decisive role. While revenue leakages in other industries may affect…
Medical Billing: An In-Depth Look at Its Purpose, Process and Impact From ensuring financial stability and transparency to acting as a link between providers, insurers, and patients, medical billing forms the cornerstone for quality care in the healthcare industry. Yet, as Becker’s medical review found, approximately 80% of US medical bills contain inaccuracies. This not…
In-House vs. Outsourced Medical Billing: A Comprehensive Guide for Modern Healthcare Practices The healthcare industry has seen major transformations in recent years, and billing practices are evolving alongside it. In the wake of the COVID-19 pandemic, many healthcare providers have accelerated digital transformation, sparking a growth in outsourced billing and revenue cycle management (RCM). According…
Are You Getting Cardiology Billing Denials? 9 Tips to Prevent Leaking Revenue Billing denials adversely affect the operational and financial efficiency of a healthcare practice resulting in higher administrative charges. According to a recent Healthcare Information and Management Systems Society (HIMSS) report, 76.1% of healthcare leaders say that denial is the biggest challenge. By the…