While credentialing typically occurs before a provider joins a network, re-credentialing is the periodic revalidation of an already credentialed provider. […]
A Complete Provider Re-credentialing Guide 2026 Read More »
Retinal detachment repair is one of the more commonly performed procedures in ophthalmic billing. Despite its high demand, ophthalmology practices
Ultimate Guide to CPT Code 67108 Read More »
Urology practices face significant clinical and administrative demands. According to the National Kidney Foundation, approximately 1 in 7 adults in
Urology Revenue Cycle Management Guidelines 2026 Read More »
Radiology services are frequently billed healthcare services, but ensuring accurate billing can be fairly challenging. According to Radiology Info, the
Radiology Revenue Cycle Management Guidelines 2026 Read More »
Nothing frustrates healthcare providers and medical billers more than receiving reimbursement that is substantially lower than the amount originally billed.
What is the Allowed Amount in Medical Billing? Read More »
Prior authorization (PA) is a utilization management process in which a health plan reviews and approves a procedure, treatment, or
Prior Authorization Challenges in Oncology Practices Read More »
Did you know that, according to Data Springs, formerly known as the Council for Affordable Quality Healthcare (CAQH), 10 billion
Healthcare Underpayments: A Complete Revenue Recovery Guide Read More »
Did you know that according to the American Cancer Society (ACS), there will be an estimated 2,114,850 new cancer cases
Oncology Revenue Cycle Management Guidelines 2026 Read More »
Did you know that Part 162 of the HIPAA Administrative Simplification Regulations governs the standards used in electronic data interchange
What is Electronic Data Interchange (EDI) in Healthcare? Read More »
A Medicare Part B TPE audit, also known as Targeted Probe and Educate, is a claim-level review that a Medicare
What is a Medicare Part B TPE Audit? Read More »
