Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Charge Capture Inside the Visit: The Injections and Tests That Go Unbilled
The visit was billed, but the injection, the point-of-care test and the depression screening were not. This kind of leakage hides inside encounters that look complete. Here is where it happens, a table of commonly missed services, and the weekly reconciliation that catches it.
No Surprises Act IDR on Hold: What the February 6, 2023 Texas Ruling Changes
A federal court vacated parts of the No Surprises Act arbitration rule on February 6, 2023, and CMS told arbitrators to stop issuing payment determinations. Here is what the ruling changed, which deadlines still run, and how practices should handle disputes while the process is paused.
Five Weeks Into the 2023 E/M Changes: Hospital, Observation and Prolonged Codes
The 2023 CPT revisions took effect January 1 and the first denials for deleted observation and prolonged service codes are now arriving. Here is what changed, the time thresholds to keep on the wall, and the template fixes we are asking practices to make this month.
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The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.