Physical therapy billing runs on a system most other specialties don’t deal with at all: timed codes billed in units based on minutes of treatment. Get the unit calculation wrong, and it doesn’t just cause one denial — it repeats across every visit…
Insurance Credentialing: What It Is and How to Get Started
A physician can be fully licensed, board-certified, and clinically ready to practice, and still not be able to bill a single insurance company until credentialing is complete. It’s the piece of the process most new providers underestimate, both in complexity and in how…
Superbill vs. Claim: What’s the Difference and When Do You Need Each?
New practice owners and even experienced office managers mix these two up more often than you’d expect, and the confusion isn’t trivial — using the wrong one, or not understanding when each applies, creates real billing delays and patient confusion. The Short Answer…
Dermatology Medical Billing: Codes, Modifiers, and Common Denials
Dermatology billing runs on three CPT code families — biopsy, destruction, and excision — plus a separate set of codes for Mohs micrographic surgery. Most dermatology.
SEO for Medical Practices: A Practical Starting Checklist
A medical practice’s SEO checklist starts with the basics most practices skip entirely: a claimed and complete Google Business Profile, consistent name-address-phone information everywhere the practice.
Denial Management in Medical Billing: A Complete Guide
Denial management is the structured process of identifying why a claim was denied, correcting or appealing it, and fixing the upstream cause so the same denial.
UnitedHealthcare Timely Filing Limit for Claims
UnitedHealthcare’s timely filing limit for participating commercial claims is generally 90 days from the date of service, non-participating providers get up to 180 days, and noncontracted.
What Is an ERA (Electronic Remittance Advice) in Medical Billing?
An ERA, or Electronic Remittance Advice, is the standardized electronic file a payer sends after adjudicating a claim, showing what it billed, allowed, paid, and denied,.
How to Calculate Days Sales Outstanding (DSO) and AR Turnover in Medical Billing
Days Sales Outstanding (DSO) in medical billing measures the average number of days it takes a practice to collect payment after a claim is billed. AR.
FY2027 ICD-10-CM Code Update: What Changes October 1, 2026
CMS and the CDC released the FY2027 ICD-10-CM code set in June 2026, effective for encounters on and after October 1, 2026. The update adds 190 new diagnosis codes, deletes 30, and revises 4 — a lighter release than the 487 additions practices…