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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Behavioral Health Prior Authorization Documentation: What Payers Ask For Before Care Starts
A behavioral-health authorization rarely fails because care was unnecessary. More often, the request arrives incomplete: the assessment is there, but the treatment plan has…
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Claim Status Follow-Up: A Work Queue That Finds Silent Claims
The claim that costs a practice the most is not always the one that comes back denied. Often it is the one that never…
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Clean Claim Rate: What It Counts, How to Measure It, What It Misses
Ask a billing team for their clean claim rate and you will usually get a confident percentage. Ask a harder question — "what exactly…
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Medical Billing Audit: What It Checks, What It Finds, and When a Practice Needs One
Most practices know their billing is imperfect. What they rarely know is where, exactly, the money leaks — or whether the leak is a…
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Charge Entry Checks Before Claims Go Out
A claim can pass every clearinghouse edit, reach the payer clean, and still come back denied — because the mistake was made before the…
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Insurance Underpayment Recovery: How to Spot Payer Underpayments and Get Paid What Your Contract Says
Most practices notice a denied claim — it stops payment entirely and lands on a worklist. An underpaid claim is quiet by comparison: the…
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Insurance Eligibility Verification Checklist: What to Confirm Before Every Appointment
A patient arrives for their appointment. Your team provides the care, submits the claim — and weeks later it comes back denied because the…
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Speech Therapy CPT Codes Guide
Common speech-language pathology codes, which are timed and which are not, how the GN modifier works, and documentation that supports SLP claims.
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How Claims Are Reviewed Before Submission
The checks applied to every claim before it leaves: coverage, coding support, modifiers, authorizations and payer-specific rules, and the limits of automated edits.
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Occupational Therapy CPT Codes Guide
The OT codes practices bill most often: evaluation complexity levels, re-evaluation, therapeutic activities, self-care training, modifiers and unit counting.
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