Insurance Credentialing
Credentialing OB/GYN Providers Across Multiple Practice Locations
How OB/GYN groups credential providers who work across offices and hospitals, link locations with payers, and avoid denials when deliveries and visits span sites.
Published
Insurance and Payer Updates
Medicare vs. Commercial Payment Rules for Oncology Drugs
How Medicare ASP-based payment differs from commercial oncology drug contracts, site-of-care policies, white bagging and NDC rules, and what practices should track.
Published
Specialty-Specific Billing
Orthopedic E/M Coding: New vs. Established Patients and Medical Decision Making
How orthopedic practices apply the three-year new patient rule across subspecialties, select office E/M levels by MDM or time, and avoid common E/M denials.
Published
Specialty-Specific Billing
In-Office Imaging in Orthopedic Claims: X-Rays, Interpretations, and Outside Films
How orthopedic practices bill in-office X-rays and other imaging, document interpretations, handle outside films and avoid duplicate component billing.
Published
Specialty-Specific Billing
Physical Therapy Services Inside Orthopedic Practices: Billing and Compliance
How orthopedic groups that employ physical therapists bill therapy services: enrollment, plans of care, GP modifier, incident-to limits and Stark considerations.
Published
Denial Management
Conservative Treatment Documentation for Pain Procedure Coverage
Why pain procedure denials often cite missing conservative treatment, what payers expect to see documented, and how pain practices build the record before procedures.
Published
Specialty-Specific Billing
Newborn Care Coding: Initial Hospital Services, Subsequent Days, and Discharge
How pediatric practices bill normal newborn care in the hospital or birthing center, subsequent days, same-day discharge, and sick newborn services.
Published
Specialty-Specific Billing
Pediatric Telehealth Billing: Medicaid, Commercial Plans, and State Rules
How pediatric practices bill telehealth visits for children: place of service and modifiers, Medicaid state rules, audio-only visits, consent and common denials.
Published
Specialty-Specific Billing
Medicaid EPSDT Billing for Pediatric Practices: Screenings, Referrals, and State Rules
How pediatric practices bill Medicaid EPSDT screenings using Bright Futures periodicity, report required components, use referral indicators and follow state rules.
Published
Specialty-Specific Billing
The KX Modifier and Medicare Therapy Threshold: Documentation for Continued PT
How physical therapy practices track the Medicare therapy threshold, apply the KX modifier, prepare for targeted medical review and document continued need.
Published
Medical Coding
Therapeutic Exercise, Neuromuscular Reeducation, and Manual Therapy: Choosing the Right PT Code
How physical therapists distinguish therapeutic exercise, neuromuscular reeducation, manual therapy and therapeutic activities, and document each timed code.
Published
Specialty-Specific Billing
Wound Care and Debridement Billing in Podiatry: Depth, Surface Area, and Documentation
How podiatrists code wound debridement by depth and surface area, distinguish selective from surgical debridement, and document diabetic foot ulcer care.
Published
Let's talk about your practice
Ready for cleaner claims and steadier cash flow?
Speak with our billing experts — free consultation, no obligation. Complete Billing from 4% of collections.