5 Medical Billing Outsourcing Mistakes That Cost Practices the Most Money
The practices that have the worst experiences with outsourced billing didn't choose bad companies. They made five specific mistakes in how they selected, onboarded, and managed the relationship. Here's what those mistakes look like and how to avoid each one.
Clean Claim Rate in Medical Billing: What It Is, What It Should Be, and How to Improve It
Clean claim rate is the single most important leading indicator of billing health. Here's what it measures, what benchmark looks like by specialty, the five most common causes of a low rate, and the specific fixes for each.
OB/GYN Billing: The 2027 Global Billing Code Changes and What to Do Now
16 global obstetric billing codes are being deleted on January 1, 2027. OB/GYN practices that don't prepare now will face a billing transition that affects every obstetric patient in their panel. Here's what's changing and the specific steps to take before the deadline.
How to Improve Medical Billing: 8 Changes That Move the Numbers Within 90 Days
Improving medical billing performance isn't about working harder — it's about fixing the specific upstream errors that generate downstream losses. Eight concrete changes, prioritized by revenue impact, that move the numbers within 90 days.
Orthopedic Billing Problems: Global Periods, Implant Billing, and Workers Comp Complexity
Orthopedic billing has three layers of complexity most practices underestimate: 90-day global surgical packages, implant and supply charge capture, and workers' compensation's completely different billing rules for the same procedures.
Neurology Billing Problems: 20-30% Denial Rate and $14,000 Average Denied Claim
Neurology has the highest denial rate of any outpatient specialty — 20-30% — and the highest average denied claim value at $14,000. Prior auth on high-value procedures, EEG/EMG coding complexity, and infusion billing errors create a compounding revenue problem most neurology practices underestimate.
Dermatology Billing Problems: The Cosmetic vs. Medical Split and Mohs Surgery Errors
Dermatology is the only specialty where every patient encounter may involve a billing decision that has nothing to do with coding: is this cosmetic or medical? Get it wrong and you're either leaving money on the table or creating a compliance exposure.
Chiropractic Billing Problems: The AT Modifier and Why 31% of Chiro Denials Come From One Error
31% of chiropractic Medicare denials come from a single missing modifier: AT. Add maintenance care billing to the mix and you have two compliance risks and one revenue gap that compound every billing cycle.
Pediatric Billing Problems: Vaccine Coding, Medicaid Transitions, and Age-Specific Errors
Pediatric billing has three categories of errors that cost practices most: vaccine billing (VFC vs private stock), Medicaid/CHIP coverage transitions mid-year, and age-specific code restrictions that commercial payers enforce inconsistently.
Psychiatry Billing Problems: E/M + Psychotherapy Add-Ons and the MDM Coding Trap
Psychiatry billing combines E/M complexity with psychotherapy add-on codes — and gets the worst of both. Modifier 25, MDM-based leveling, time-based vs MDM conflicts, and interactive complexity. Here's what causes the losses.
HIPAA Violations in Medical Billing: The Risks Most Practices Don’t Know They’re Taking
Most HIPAA violations in medical billing don't come from data breaches. They come from missing BAAs with billing vendors, unencrypted PHI on freelancer devices, and offshore billing arrangements without proper compliance documentation. Here's what creates exposure and how to close it.
Urgent Care Billing Problems: Why 3 in 5 Urgent Care Claims Have Issues
Walk-in eligibility verification under time pressure, S-code confusion, and high-volume claim throughput make urgent care billing uniquely error-prone. Three out of five urgent care claims have at least one issue at submission. Here's what causes them.