Healthcare organizations use several standard code sets when billing payers. CPT and HCPCS codes describe procedures and supplies. ICD-10 codes define diagnoses and patient conditions. Revenue codes are different. They identify the department or type of service provided in a facility setting. Even though they may not explain a clinical service on their own, they […]
Claim denials are one of the biggest barriers to smooth reimbursement. Even when workflows seem well-organized, denials can still disrupt cash flow and increase administrative workload. They also slow down the revenue cycle and create unnecessary rework. Recent industry reports show denial rates have risen sharply in the past two years. Many of these are […]
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 […]
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 […]
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 […]
Medical billing services often feel like a maze. From complicated statements to delayed insurance payments, the billing process is frustrating for everyone involved: patients, providers, and payers. But what if paying a medical bill, or even processing one, could be done with just a single click? This idea is no longer a distant dream. With […]
Write-offs in medical billing are often seen as an inevitable loss, but they have deeper financial implications than many healthcare providers realize. While some claims may seem too difficult or time-consuming to pursue, writing them off too soon leads to significant revenue leakage, compliance risks, and operational inefficiencies. According to the Medical Group Management Association […]




































