Modifier 26 vs TC in Cardiology Billing: Who Bills Which Part
Modifier 26, modifier TC or one global claim? How cardiology practices decide for echo, stress tests, Holter monitors, nuclear imaging and device checks, site by site.
2027 CPT Code Changes and the Medicare Fee Schedule: A Checklist
CPT 2027 brings 453 code changes on January 1, alongside a new Medicare fee schedule and quarterly HCPCS and NCCI updates. Here is what changed and a checklist to get ready.
Denial Root Cause Analysis: A Monthly Workflow for Medical Practices
A six-step monthly workflow for medical practices: pull remittance data, group denials by CARC/RARC and by where they start, assign owners, fix upstream and track the results.
Revenue Leakage in Healthcare: 4 Handoffs Where Practices Lose Money
Most lost revenue in a medical practice starts at a handoff, not in the billing office. Here are the four handoffs where money slips, who should own each one and how to measure it.
January Deductible Reset: Eligibility and Patient-Estimate Checklist
Deductibles restart and plans change on January 1. Use this checklist to re-verify every patient, estimate what they owe, give self-pay patients a Good Faith Estimate and collect at the visit.
Year-End Accounts Receivable Cleanup Checklist for Medical Practices
A December checklist for medical practices: work A/R by payer and deadline, file and appeal before Medicare limits close, settle credit balances and snapshot your KPIs.