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Medical Billing Insights & Guides
Practical articles on billing, coding, credentialing and revenue cycle management.
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Medical Billing & Revenue Cycle Articles
Practical guides from our billing, coding and credentialing team – written to help healthcare providers get paid correctly and on time.
Medical BillingHow Much Does Medical Billing Cost? Pricing Models Explained
Percentage of collections, flat monthly fee or per-claim pricing – how medical billing services are priced and what drives the cost for your practice.
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Medical BillingMedical Billing Checklist for New Practices: The First 90 Days
Opening a new practice? Use this step-by-step billing checklist – from NPI and credentialing to your first clean claims – to get paid from day one.
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Medical BillingIPA Contracting Explained: How Joining an IPA Can Grow Your Practice
What an Independent Practice Association is, how IPA contracts work and how joining the right IPA can bring more patients and better payer rates.
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Practice GrowthHIPAA-Compliant Medical Billing: 8 Questions to Ask Your Billing Company
How to check that a medical billing partner protects patient information – and the questions every practice should ask before signing.
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Dental BillingDental Billing vs. Medical Billing: What Dental Practices Need to Know
Dental and medical billing use different codes, claim forms and plan rules. Learn when to bill dental vs. medical insurance and how to avoid the most common dental claim problems.
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CredentialingCAQH ProView: How to Set Up and Keep Your Profile Current
Most commercial payers rely on CAQH ProView for credentialing. Learn what goes into a complete profile, why re-attestation every 120 days matters, and how to avoid delays.
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Practice GrowthIn-House vs Outsourced Medical Billing: Which Is Right for Your Practice?
Compare the real costs, risks and benefits of keeping billing in-house versus outsourcing to a medical billing company.
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Medical CodingNCCI Edits in Medical Billing: PTP Edits, MUEs and How to Avoid Denials
NCCI edits stop many claims before a person ever reviews them. Learn how PTP edits and MUEs work, which modifiers are allowed and how to keep your claims clean.
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Revenue CycleClaim Denial Management: Why Claims Get Denied and How to Get Paid
Denied claims are revenue waiting to be collected. Here are the most common denial reasons, how to read denial codes and a simple process to prevent and appeal denials.
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CredentialingProvider Credentialing and Payer Enrollment: A Step-by-Step Guide
A provider cannot be paid until credentialing and enrollment are complete. Learn the steps, the documents you need, typical timelines and how to avoid costly delays.
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Revenue Cycle7 Revenue Cycle KPIs Every Medical Practice Should Track
You cannot improve what you do not measure. These seven revenue cycle KPIs show how healthy your billing is and where money is being lost.
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Front OfficeInsurance Eligibility Verification: The First Step to Clean Claims
Eligibility problems are one of the top causes of claim denials. Learn what to verify before each visit and how a simple routine prevents surprise bills.
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Front OfficePrior Authorization: How to Reduce Delays and Denials
Prior authorization delays care and causes denials when it is missed. Here is how to build a reliable authorization process and what is changing in the rules.
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Revenue CycleOld A/R Recovery: How to Collect Aging Insurance Claims
Claims over 90 days old are hard to collect – but not impossible. Learn how to prioritize old A/R, beat timely filing limits and recover money you have already earned.
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