No, most OBGYN billing companies are not yet ready for CPT 2027, because the January 1, 2027 shift from global obstetric codes to phase-based reporting demands new documentation habits, new claim logic, and new revenue cycle infrastructure that few vendors have actually built. Key Takeaways CPT 2027 deletes 17 global obstetric codes and replaces them […]
The most effective way to reduce neurology claim denials without increasing administrative work is to improve documentation accuracy, strengthen coding processes, and verify insurance eligibility and prior authorizations before claims are submitted. A specialty-focused neurology billing workflow helps prevent errors upfront, reducing denials while improving reimbursements and minimizing staff workload. The right approach uses better […]
No — your family practice billing company is not ready for Medicare Advantage growth if it is applying traditional Medicare billing logic to MA plans, managing prior authorization reactively, and reporting MA performance through a blended collections figure that conceals whether your practice is collecting what MA contracts require or absorbing what MA plans choose […]
The best cardiology medical billing companies in 2026 share a specific set of traits: deep familiarity with cardiac CPT and modifier logic, MAC jurisdiction-specific LCD tracking, provider-level denial management, and a documented approach to old AR recovery, not just new claim submission. Rather than a fixed ranked list, since a good fit depends on a […]
The best ASC billing companies measure ten metrics every month — and the difference between a billing company that measures these ten and one that delivers a collections summary is the difference between a surgery center that grows and one that collects without knowing whether it collected what it was owed. Most ASC billing companies […]
Payers are rejecting XU modifier claims in 2026 mostly for three reasons: the documentation doesn’t clearly show the service was non-overlapping, the coding team defaulted to modifier 59 instead of the more specific XU modifier, or the code pair carries a Correct Coding Modifier Indicator of “0,” which means no modifier can bypass the edit […]
The GW modifier in medical billing tells Medicare that a service given to a hospice patient has nothing to do with their terminal diagnosis, so the claim should be paid outside the hospice per diem. Get this modifier wrong, and Medicare either denies the claim outright or, worse, pays it and then recoups the money […]
The GW modifier for hospice tells Medicare that a service is clinically unrelated to a patient’s terminal illness, so it can be paid separately from the hospice per diem instead of being denied or bundled into hospice coverage. That one-line definition sounds simple. In practice, it sits at the center of one of the fastest-growing […]
No — your ASC billing partner is not helping your surgery center grow if it is processing claims without protecting implant revenue, managing prior authorization windows reactively, or reporting facility performance through a collections summary that conceals which procedure categories are underperforming and which payer contracts are systematically underpaying. An ASC billing partner that processes […]
No — not if it cannot answer five specific operational questions about how it handles antepartum transfer of care documentation, co-management modifier workflows, VBAC conversion narratives, payer variance detection on global maternity claims, and the appeal window triage protocol it applies when a global maternity denial lands in your AR. Those five operational capabilities are […]
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