Healthcare providers in Pittsburgh operate in one of the most diverse payer markets in the Mid-Atlantic region. From large hospital systems to independent practices, managing reimbursements has become increasingly complex as payer rules tighten and compliance expectations grow. A 2024 industry survey revealed that 38% of providers experience at least one denial in every ten […]
Drowning in administrative headaches? Hand them over to one of the top medical billing companies in California. The Golden State’s healthcare market is one of the most complex in the nation. It is driven by a mix of private insurers, Medi-Cal, and specialized worker-compensation programs. This diversity creates both opportunity and challenge. Practices must navigate […]
Texas is one of the fastest-growing healthcare markets in the U.S., with a diverse payer mix that includes Medicare, Medicaid, and strong commercial plans. Getting medical billing right here is especially critical because errors, delays, or compliance breaches can cost practices dearly. In this article, you’ll find actionable tips and a curated list of trusted […]
New York’s healthcare market is vast and uniquely complex. With around 356 medical billing businesses operating statewide, the number of choices can feel overwhelming. Despite this massive service industry, many practices still face recurring issues such as high claim denials, delayed reimbursements, and administrative burnout. These challenges affect financial stability and pull providers away from […]
Skin tags, or acrochordons, are common benign skin growths that affect millions of patients each year. While medically harmless, they often become a billing and coding challenge. Payers require accurate diagnosis coding to distinguish between medically necessary removals, such as those causing irritation, bleeding, or infection, and cosmetic procedures that are generally not covered. For […]
Every medical claim tells a story, about the care delivered, and also about where it was delivered. In medical billing, this is captured by Place of Service (POS) codes. These two-digit numbers may look simple, but they directly impact how claims are processed, what reimbursement rates apply, and whether a payer will approve or deny […]
Medicare crossover claims are a streamlined process that helps providers receive timely, accurate payments when patients have both Medicare and secondary insurance coverage. After Medicare adjudicates its portion, the claim details are automatically forwarded to the secondary payer, reducing duplicate submissions and minimizing patient billing errors. Still, many billing teams encounter confusion when crossover claims […]
Struggling to Keep Up with Medical Billing? Try us free for 30 days → Start Free Trial Outsourcing medical billing has become a critical decision for small practices seeking to optimize revenue cycle management while minimizing operational burdens. With the healthcare RCM industry being dynamic and new changes coming in every few months, partnering with […]
When small medical practices think about billing, they usually focus on things like claims, reimbursements, coding, and payments. But there’s one part that doesn’t always get enough attention, credentialing. When this step is not done right or is not linked well with billing, it can cause delays, denied claims, and money problems. When it comes […]
Hospital medical billing is a critical function that ensures healthcare providers are properly reimbursed for the services they provide. Yet, in a multi-payer system, where hospitals must deal with a wide array of insurance providers, from Medicare and Medicaid to private health insurers, the billing process can quickly become complex. Managing multiple payers means navigating […]

































