Blogs

August 30, 2021
pre-authorization not authorized

What happens if a session requires pre-authorization but the client does not have one?

Prior authorization or pre-authorization is the process of getting approval from the insurance to determine coverage of services, beforehand. Factors important to get approval include medical […]
August 23, 2021
How Is Mental Health Billing Different from Medical Billing?

How Is Mental Health Billing Different from Medical Billing?

Counselors, therapists, and mental health practitioners offer services that starkly differ from their healthcare counterparts. A majority of time is spent in therapy sessions as opposed […]
August 13, 2021
How to Negotiate Fee Increases with Insurance Companies

How to Negotiate Fee Increases with Insurance Companies?

The importance of physicians, hospitals, and other health care providers has never been recognized more than today when the whole world is fighting a war against […]
August 2, 2021
2021 Medicare Changes for Physical Therapists, Speech Language Therapists, and Occupational Therapists

2021 Medicare Changes for Physical Therapists, Speech Language Therapists, and Occupational Therapists

Recently the Centre for Medicare and Medicaid Services (CMS) came out with select changes in the fee schedule for the Physical Therapists, Occupational Therapists, and Speech-Language […]
July 26, 2021
5 Ways to Improve Patient Collections in Medical Practice

How to Increase Patient Collection in Medical Practice

Patient collection involves collecting the remaining financial patient responsibility including co-pays, co-insurance, and non-covered charges. Over the past decade changes in US healthcare have led to […]
July 22, 2021
Top 8 Claim Denials and How to Correct Them

Top 8 Claim Denials and How to Correct Them

Claim denials could mean a significant loss of revenue. If you face a claim denial, you can (and must) take action. Seasoned Medical Billing Services firms […]
July 14, 2021
Out of Network Collection best practices to maximize your revenues

3 Best Practices to Maximize Your Out of Network Collection Revenues

In an ideal world, doctors and the health care provider community should be focusing only on the wellbeing of the patient. However, physicians in existing times, […]
July 8, 2021
The Physical Therapist Guide to Therapy Cap

The Physical Therapist’s Guide to Therapy Cap

The therapy cap was introduced as part of the Balanced Budget Act (BBA) of 1997. The hard cap is now replaced by the soft cap (or […]
June 30, 2021
Guide to Medicare's 8 Minute Rule for Physical Therapy

Physical Therapists Guide to the Medicare 8-Minute Rule

Physical Therapists’ Guide to the Medicare 8-Minute Rule (“Rule of Eights”—to determine the number of units they should bill Medicare for the therapy services provided on […]