Before comparing billing companies on service quality, it helps to understand how they’re priced — because the pricing model itself changes the incentives at play,
A practice that grows to two, three, or more locations often finds its billing has grown the same way — inconsistently, with each site running
Reimbursement isn’t purely fee-for-service anymore. Under the Merit-based Incentive Payment System (MIPS) and other value-based arrangements, how well a practice performs on quality and cost
A billing company that has to re-key data from your EHR into a separate billing system introduces delay and transcription errors before a claim is
Practices often stay with an underperforming billing vendor longer than they should, out of fear that switching will create a worse problem — a gap
Every denied or adjusted claim comes back with a group code and a reason code attached — a short combination of letters and numbers that
As deductibles and out-of-pocket costs have grown, the patient share of a practice’s revenue has grown with them. Collecting that share well — without turning
A provider who can’t bill is a provider who isn’t generating revenue, no matter how full their schedule is. Credentialing and payer enrollment are the
Days in accounts receivable gets most of the attention, but it’s a lagging indicator — by the time it moves, the underlying problem has already
Every claim that moves through your revenue cycle carries protected health information (PHI) — patient names, diagnoses, procedure codes, and insurance details. Outsourcing billing doesn’t