Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
How to Run a Weekly Billing Meeting: Six Numbers, Who Attends, What It Decides
Most practices find out about a billing problem when the bank balance drops. A weekly billing meeting finds it four to six weeks earlier. We give the 30-minute agenda built on six numbers, who is in the room, the report each number comes from, a worked example and the three decisions every meeting should end with.
HIPAA Multifactor Authentication and Password Managers: A 30-Day Practice Plan
The front desk shares one EHR login, the payer portal password is on a sticky note and nobody has MFA on email. We explain what HIPAA multifactor authentication rules require today and what is proposed, why shared logins fail the Security Rule, and how to roll out a password manager and MFA in four weeks.
The Front-Desk Training Refresh We Recommend Before Summer 2026
Summer brings new staff, vacation coverage and patients with changed insurance. A two-hour front-desk refresh in late May prevents most of the eligibility, copay and authorization errors that show up as denials in August. Here is the agenda we use, the six things to practice, and how to check it worked.
Hospice Billing for Physicians: GV and GW Modifiers and the Attending Rules
The day a patient elects hospice, the physician office's Medicare claims start denying with CO-B9. Hospice billing for physicians turns on two questions: is this doctor the designated attending, and is this visit related to the terminal illness? We explain the GV and GW modifiers and who bills whom.
Credentialing Summer Hires: The Timeline for Providers Starting in July 2026
Residency ends in June, and new physicians start in July and August. If their credentialing did not begin in March, they will see patients whose claims cannot be billed. Here is the realistic timeline for Medicare, Medicaid and commercial payers, what to do when it is already late, and how to bill during the gap.
What the OIG Is Auditing in Physician Practices in 2026: Incident-To and CCM
The HHS Office of Inspector General published a report on office-based vascular procedures on May 4, 2026, has an active national audit of incident-to billing, and added a chronic care management audit in March. We explain what each one is looking for and how a practice checks itself before someone else does.
Billing Office Standard Operating Procedures: The 12 SOPs Every Practice Needs
When the one biller who knows how things work goes on leave, the practice discovers it has no billing office standard operating procedures. We list the twelve SOPs every practice should write, the one-page format that actually gets read, who owns each one, and the triggers that keep them current instead of decorative.
Patient Collections in a High-Deductible Year: What Works in 2026
By May most patients with high-deductible plans still have not met their deductible, which means the practice is the bank. Here is the collections approach we see working: estimates before the visit, cards on file with clear terms, a 30-day statement cycle, a worked example, and a hard stop on stale balances.
EDI Transactions Explained: 837, 999, 277CA, 835 and 270/271 for Practices
Billing staff talk about 837s and 835s as if everyone knows what they are. We explain each of the HIPAA EDI transactions a practice touches, what it carries, where it can fail, which report to look at, and how the files fit together in the life of one claim from eligibility check to posted payment.
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The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.