Modifier 25 vs Modifier 59: Your Complete Guide to Correct Use, Application Steps, and How Clinics Can Finally Get Them Right If there is one thing that has stayed consistent in U.S. medical billing over the last 20 years, it is the debate around Modifiers 25 and 59. Even in 2026, they continue to cause…
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…
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…
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…