Billing insight that pays for itself.
Clear, current guidance on Medicare reimbursement, denials, credentialing and revenue cycle management — written by the team that bills for practices across all 50 states.
Ambulatory Surgery Center (ASC) Billing Basics: How the Facility Payment Works
ASC billing runs on its own rules — a bundled facility payment, a specific covered-procedures list, and separate professional claims. Here is how ASC reimbursement works and the 2026 updates that affect it.
Prior Authorization in 2026: The New Federal Rules Every Practice Should Use
Faster decisions, mandatory denial reasons, and public payer scorecards arrive in 2026 under CMS-0057-F — with electronic prior authorization APIs coming in 2027. Here is what changes and how to turn it to your advantage.
Collaborative Care & Behavioral Health Integration Billing: CPT 99492–99494 and G2214
Integrating behavioral health into primary care is good medicine — and billable, recurring revenue. Here are the 2026 CoCM and BHI codes, the roles you need, and the 2026 change that retired G0512.
CO, PR, OA, PI: What the Claim Adjustment Group Codes Actually Mean
Every line on a remittance carries a group code that says who owes the money — the payer, the patient, or nobody. Misread it and you write off what you could bill, or bill patients for what you owe. Here is the plain-English guide.
