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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How to Get on Insurance Panels as a Therapist
A practical guide for therapists joining insurance panels: choosing payers, preparing CAQH and documents, application order, timelines and billing while enrollment is pending.
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Claim Rejection vs Denial: What Each One Needs Next
A rejected claim never reached the payer; a denied claim was processed and refused. The fix, the route and the deadline differ, and mixing them up costs time.
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TMS Therapy Billing: Codes & Authorization
What each TMS code covers, how a treatment course maps to claims, what payers ask for before approving TMS, and the documentation that keeps a course paid.
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Timely Filing Limits by Insurance
A claim filed one day late can be lost for good. Here are published filing limits for major payers, how each deadline is counted and where to confirm it.
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Texas Prompt Pay Act: Deadlines & Penalties for Practices
How Texas prompt pay rules work for network providers: when to file, when state-regulated plans must pay a clean claim, how penalties are figured and where surprise billing rules fit.
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Texas Medicaid Billing Guide
How Texas Medicaid billing works for practices: enrolling through TMHP, the STAR managed care programs, sending claims to the right payer, filing deadlines and fee lookups.
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Texas Gold-Card Prior Authorization Law Explained
What HB 3459 and its 2025 update mean for Texas physicians: how a prior authorization exemption is earned, kept and lost, and how to work prior auth with BCBSTX.
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Texas Ground Ambulance Balance-Billing Rules
What SB 2476 and its 2025 extension mean for EMS billers: which transports and plans are covered, how the plan rate is set, and what a patient can still be billed.
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Telehealth Billing Guide
Practical telehealth billing guidelines: which place of service code to use, when modifiers 95, 93, GT and FQ apply, and how Medicare and commercial rules differ in 2026.
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What Is a Superbill?
A superbill is the itemized receipt out-of-network therapy clients send to their insurer. Here is what it must contain and a template you can copy.
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