Billing & Coding Guides

Did you know that, according to the National Library of Medicine, medical debt worth $194 billion was in active collection […]

Nursing care facilities look simple. However, they are actually one of the most medically complex because the staff has to

The Centers for Medicare & Medicaid Services (CMS) maintains the NCCI edits, which stand for National Correct Coding Initiative edits.

Did you know that HealthCare Partners IPA, located in Garden City, New York, is the largest physician association with 4,891

Did you know that patient no-shows and cancellations are estimated to cost the U.S. healthcare industry billions of dollars annually?

Did you know that 4 in 5 medical claims contain at least one minor mistake? Claim edits can help prevent

Before we get into the details, let’s start with a scenario. Suppose a cardiologist performs a detailed evaluation of a

Did you know that False Claims Act (FCA) settlements and judgments exceeded $6.8 billion in fiscal year 2025? This huge

Did you know that insurers of qualified health plans (QHPs) sold on HealthCare.gov denied 36% of out-of-network (OON) claims in

Did you know that compliance with MIPS costs $12,800 per clinician annually? Besides, physicians spend 53 hours annually on MIPS-related