Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Preparing Front-Desk Collections for the January Deductible Reset
In January most patients owe the full visit cost until the deductible is met. Practices that collect at the desk in January collect it; practices that send statements in March mostly do not. Here is the fourth-quarter plan: deductible data from the eligibility response, estimates, card on file and scripts.
Why Completed Encounters Never Become Claims, and How to Catch Them Every Week
The most expensive leak in a medical practice is the visit that was seen, documented and never billed. Here is where unbilled encounters come from, how to measure the gap with three reports you already have, and the two weekly reconciliations that close it.
How to Identify Revenue Leakage in a Medical Practice: A Six-Point Checklist
Leakage hides in small, repeatable failures. Here is a practical method for finding it: the six places to look, the exact reports to pull, how to put a dollar figure on each finding, and how to assign every leak to a process owner and a weekly check.
Billing Supplies in the Office: 99070, HCPCS A Codes and What Payers Bundle
Splints, slings, dressings and trays leave the supply closet every day, and most of them never reach a claim. We explain when 99070 works and when it never will, which HCPCS A, Q and L codes payers actually pay, what NCCI bundles into the procedure, and where the supply dollars are worth chasing.
AR Clean-Up Before Q4: A Six-Week Plan for Aging Claims and Unapplied Cash
Between now and the end of September, claims from the first half of the year pass the point where most commercial timely filing limits expire. A six-week clean-up recovers what can be recovered and writes off the rest with a reason attached. Here is the plan we run, week by week, with the numbers to check.
Contractual Adjustment vs Write-Off: The Codes Every Practice Should Separate
When every reduction in a patient balance is posted to one adjustment code, the practice cannot tell contract discounts from lost revenue. We define the difference, propose a short list of adjustment codes, show what the monthly adjustment report should look like, and flag the compliance rules around discounts.
Missed Charges in Office Procedures: Injections, Vaccines and the Audit
The visit is billed and the procedure is not. Injection administration without the drug, vaccines without the administration code, drug units under-counted, point-of-care tests never charged. Here is where missed charges hide in office practice, a code-by-code table, and a two-hour audit that finds them.
Buy-and-Bill Economics for Office Practices: ASP Plus 6, Sequestration, Margin
Buy-and-bill drugs look profitable on the fee schedule and thin in the bank account. We work through what Medicare actually pays after sequestration, what acquisition, carrying cost, wastage and uncollected coinsurance take back, and a break-even check you can run for every drug in the refrigerator.
The Six-Month Revenue Leakage Review: What to Pull Before July 1, 2026
Half the year is gone and most practices have not checked whether January's fixes held. Here is the mid-year leakage review we run: the six reports, the window to use, how to size each finding in dollars, who owns each fix, and the three numbers that decide whether the second half looks like the first.
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The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.