Accurate and efficient cardiology medical billing and coding are essential for ensuring appropriate reimbursement and maintaining compliance with federal and payer-specific regulations. Given the complexity of cardiology procedures, a wide range of diagnosis codes, and frequent updates to coding guidelines, cardiology practices face unique billing challenges that differ significantly from those of primary care or […]

When a healthcare provider treats a patient who has Medicare as well as another type of health insurance, understanding the rules for Medicare Coordination of Benefits (COB) becomes essential. Improper COB handling can result in claim denials, delays, and lost revenue. This article provides a practical overview of all major COB scenarios and outlines how […]

Behavioral health providers who serve Medicaid patients often face a uniquely complex billing environment. With each U.S. state administering its own Medicaid program under federal guidelines, and the rise of managed care structures, navigating the billing process requires not only clinical expertise but also a deep understanding of administrative requirements. Understanding Medicaid behavioral health billing […]

You chose Tebra for its powerful, all-in-one platform that streamlines everything from patient intake to clinical charting. It’s a smart investment in your practice’s operational backbone. But are you leveraging it to its full potential to maximize your financial health? Even with a top-tier EHR, the complexities of medical billing can prevent your practice from […]

Telehealth has revolutionized healthcare delivery, offering unprecedented access to care and convenience for patients. However, navigating the complexities of telehealth billing, particularly the proper use of telehealth modifiers, remains a significant challenge for many healthcare providers. Accurate modifier application is crucial for timely reimbursement and avoiding claim denials. This comprehensive guide aims to understand telehealth […]

In the world of healthcare, pathology plays a critical role in diagnosis, disease monitoring, and guiding treatment decisions. Yet, when it comes to pathology billing, even seasoned providers often find themselves navigating a maze of complexities, denials, and underpayments. Whether you’re a solo pathologist, a multi-specialty lab owner, or a practice manager overseeing daily operations, […]

In today’s healthcare landscape, urgent care centers have emerged as vital community resources, offering timely, cost-effective, and walk-in care for non-life-threatening conditions. But while providers focus on patient care, the complexity of medical billing for urgent care continues to grow. This is where experienced urgent care billing companies step in to make a real difference. […]

Ever spend an hour helping a patient move better, and get paid for only part of it? You’re not alone. For physical therapists, therapy billing can often feel like decoding a secret language: modifiers, units, time thresholds, and insurance quirks. It’s complex, sometimes frustrating, and always important. Whether you run a solo practice or manage […]

In today’s fast-moving healthcare world, truly mastering medical radiology billing is no longer just about getting codes right. It’s a critical strategy for your practice’s financial health and long-term success. While knowing your CPT, ICD-10, and modifier usage is still crucial, the industry is changing rapidly. Radiologists, practice owners, and managers now face new challenges […]

Billing for mental health services can be one of the most complex and misunderstood areas of medical billing. Unlike traditional medical specialties, mental and behavioral health involves varied treatment durations, evolving service models like teletherapy, and strict payer-specific rules. For mental health providers, understanding how billing works is essential not just for reimbursement, but also […]