Resources
Medical billing resources & guides
Practical guides on medical billing, denials, AR, coding, credentialing and specialty billing, for practice owners and billing teams.
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Mental Health Credentialing Guide
The steps behind getting a therapist or mental health practice in network, from NPI and CAQH to Medicare, Medicaid and commercial panels, and why billing waits for approval.
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How Much Does Medical Billing Cost? Rates & Pricing Models
Billing vendors price their work in different ways. Learn the common pricing models, typical market rates, how to compare in-house costs and how to calculate ROI with your own numbers.
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Medical Billing KPIs & Calculators
Formulas, worked examples and a calculator for the medical billing KPIs that matter most: days in AR, net and gross collection rate, denial rate, clean claim rate and more.
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What Is a Clearinghouse in Medical Billing?
How a clearinghouse moves claims, acknowledgments, remittances and eligibility checks between your practice and payers, and what to look for when choosing one.
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How to Reduce Claim Denials: A Practical Playbook
Most denials start long before a claim is sent. This playbook shows how to reduce denials in medical billing by fixing each stage, then working the ones that still get through.
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How to Choose a Medical Billing Company
A practical guide to choosing a billing partner: when to outsource, what specialty experience looks like, how pricing works, what to ask and which red flags to walk away from.
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Good Faith Estimate Requirements for Therapists
A plain-language walkthrough of federal good faith estimate rules for uninsured and self-pay therapy clients: timing, required content, recurring sessions and disputes.
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Common Psychotherapy Claim Denials and How to Fix Them
Eight denial patterns behind most rejected therapy and psychiatry claims, what usually causes each one, how to correct it and how to keep it from coming back.
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Medical Billing Denial Codes: CARC and RARC Codes Explained
Group codes, CARCs and RARCs with verified X12 descriptors, a one-line fix for 21 common denials, and how to correct, appeal or bill each one.
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Mental Health CPT Codes Guide
Psychotherapy and psychiatry codes, time rules, crisis, family and group codes, ICD-10 and Z codes, modifiers, Medicaid and telehealth rules in one guide.
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