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Home » Blog » ASC Billing » What the Best ASC Billing Companies Measure Every Month What the best ASC billing companies measure every month comes down to ten revenue metrics, each one split by payer and procedure. A collections summary tells you what came in. In contrast, these ten metrics tell you what you […]
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 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 […]
Home › Blog › Ambulatory Surgical Centers › Is Your ASC Billing Partner Helping Your Surgery Center Grow? Medical Billers and Coders (MBC) often hears one question from surgery center owners: is our ASC billing partner actually helping us grow? The short answer is no if your partner only processes claims. In that case, implant […]
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 […]
A CO 50 denial means the payer has decided your claim doesn’t meet its medical necessity criteria, but the fix depends entirely on which problem you’re actually facing. A true medical necessity gap means the diagnosis genuinely doesn’t support the service billed, and no amount of paperwork will change that. A documentation failure means the […]
Denials in gastroenterology billing tend to cluster around a handful of predictable, expensive failure points: screening-to-diagnostic colonoscopy conversions, incomplete prior authorization for biologic infusions, and bundling errors on same-day procedures. Fixing them requires precise modifier logic, tighter documentation workflows, and denial management processes built specifically around GI’s coding structure, not generic claim scrubbing. That’s the […]
EDI in Medical Billing is the electronic exchange of standardized healthcare transactions, claims, eligibility checks, remittances, and claim status updates, between providers, clearinghouses, and payers, replacing paper and fax-based billing with structured, machine-readable data. If your facility is still relying on manual eligibility checks, phone-based claim status calls, or a clearinghouse that hasn’t been reviewed […]
PAR vs Non-PAR status determines how much Medicare pays your practice, how fast that payment arrives, and how much collections work lands on your front desk for every claim. This overview covers the overall financial picture of PAR vs Non-PAR participation, comparing fee schedule amounts, limiting charges, cash flow timing, and patient collections burden, so […]
For most gastroenterology practices, outsourced GI Billing is the better option because it reduces denials, lowers staffing costs, and keeps pace with the complex coding rules tied to colonoscopies, endoscopic procedures, and screening versus diagnostic billing. In-house billing can still work well for large multi-provider groups with the volume to support a dedicated team, but […]
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