Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Practice Acquisition Billing: New TIN, Enrollment Sequencing and No Payment Gap
When a practice is bought or merged, the clinical work continues on day one but payments often stop for two or three months. We lay out practice acquisition billing step by step: asset versus stock deal, new TIN and NPI, Medicare 855B and reassignments, commercial contracts, old AR run-out and a 120-day timeline.
Medicare Telehealth Runs Through 2027: The Billing Check to Do Now
The Consolidated Appropriations Act, 2026, signed February 3, extended Medicare telehealth flexibilities through the end of 2027 and covered the brief lapse at the start of February. Three months in, here is the place of service, modifier and audio-only check we recommend, a worked example, and what still expires.
The Most Common Denial Codes in a Medical Practice and the Fix for Each One
CO-16, CO-97, CO-4, CO-18, CO-29 and their neighbors make up most of what lands on a remittance. We explain what each of the most common denial codes means, the RARC that usually travels with it, where in the practice it started, and the fix that stops it coming back.
Medicaid Managed Care Billing: Enrollment, Taxonomy Codes and Retro Eligibility
Medicaid managed care billing fails for reasons that have nothing to do with the visit: a missing state enrollment, a taxonomy code that does not match the state file, coverage that arrived three months late, or a filing window that closed. Here is how the rules work and how we set a practice up for them.
Your Practice Website Should Do Three Jobs: Intake, Payments and Fewer Calls
Most practice websites are a brochure: a photo of the building, a list of doctors, a phone number. The ones that pay for themselves do three operational jobs. Here is what each job requires, the HIPAA and accessibility rules that apply, and how to measure whether the site helps the front desk or just decorates.
Aetna Gold Carding Starts May 1, 2026 in Colorado: How the Exemptions Work
Aetna's April provider newsletter announced a prior authorization exemption program for fully insured Colorado commercial members beginning May 1, 2026. Here is how gold carding prior authorization works, which states and payers have it, and how to build the approval log that earns it.
How to Choose a Clearinghouse for a Medical Practice: The Questions to Ask
A clearinghouse touches every claim and remittance, and most practices picked theirs because the practice management vendor suggested it. Here is how to choose a clearinghouse for a medical practice: what it should do, the questions that separate vendors, and how to switch without losing a month of cash.
A Pre-Visit Planning Template for Primary Care: The Huddle That Closes Care Gaps
Most care gaps that stay open were missed at a visit where the patient was already in the room. We share the pre-visit planning template for primary care we build with practices: who does it, what fields it has, how the ten-minute morning huddle uses it, what it does for PCMH evidence and the numbers to track.
Onboarding a New Medical Biller in 2026: A 90-Day Plan Built on Real Claims
Most billers learn by being handed a work queue and hoping. It takes a year and produces bad habits. Here is the 90-day onboarding plan we use, week by week: what a new biller should be able to do at 30, 60 and 90 days, the claims to practice on, and the mistakes that show you where to slow down.
Page 7 of 18 · 156 articles
Want this level of attention on your own revenue cycle?
The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.