Quick Intro: In the world of medical billing, there are two crucial identifiers that come into play: the National Provider Identifier (NPI) and Tax Identification Number (Tax ID). Despite
Read MoreQuick Intro: There is a fine line behind running a small medical practice. You’re devoted to patient care, but the hassle of administration can seem like too much. Billing specifically is
Read MoreExecutive Summary for Practice Managers Short on time? Here are the 5 critical takeaways to protect your revenue in 2025: The Code: The gold standard diagnosis is L91.8 (Other hypertrophic disorders of
Read MoreEssential RCM Knowledge: This comprehensive guide explains the critical differences between reversals and recoupments—two billing adjustment processes that impact healthcare provider revenue cycles differently. Understanding both is essential for maintaining
Read MoreComprehensive Billing Code Guide: This article covers PRRJK code, PR denial codes (PR-1, PR-2, PR-3), J codes (HCPCS Level II), and EOB group codes (CO, PI, PR, OA). Includes practical
Read MoreCritical Appeals Terminology: This comprehensive guide explains what “appeal overturned” means in medical billing context, how it differs from other appeal outcomes, and what to do when your appeal is
Read MoreQuick Intro: For many people in healthcare, the word audit is scary. It makes them think of inspectors, large fines, and stressful problems. But what if
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The demand for doula care in California has grown significantly over the past few years, especially after the state expanded Medi-Cal coverage to include doula services. This milestone has
Read MoreMedical billing looks simple on the surface — you code the service, send the claim, and the payment arrives. But anyone who has worked inside a real practice knows
Read MoreOne of the most significant stages of medical billing is correct charge entry – it is during this step that the whole reimbursement process begins. Any mistake at this
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