Notes on fewer denials
and faster reimbursements.

If you run an ABA practice, you know this pain. You delivered the therapy, the kid made progress, and then

Look, a claim doesn’t start when you hit submit. It starts two days before. When someone checks the insurance. If

Prior authorization is an important checkpoint in the healthcare revenue cycle, but getting an approval does not always mean the

There is no standalone CPT code for a routine wound dressing change. Payers bundle simple dressing changes into the E/M

A patient panel of 1,000 rarely spreads its costs evenly. Roughly 20 percent of patients typically drive most of the

As a healthcare provider, you have probably heard the term “Prospective Payment System” in meetings, on conference calls, or in

Most emergency departments leave revenue on the table without knowing it. The cause is almost always miscoded billing levels. ER

Coordination of benefits (COB) is the difference between a clean claim that pays the first time and a claim that

Nearly half of providers say patient information errors collected at registration or check-in are a primary cause of denied claims.

Prior authorization delays push treatment back for weeks. Your staff submits the request, then waits. Meanwhile, the patient calls asking

More of the financial responsibilities for healthcare costs are being passed along to patients due to High-Deductible Health Plans. As

Every year, healthcare providers lose thousands of dollars not because claims are denied, but because payments are never properly matched