Pediatric Therapy Out-of-Network Underpayment Recovery (OT, PT and Speech)
Your pediatric therapy out-of-network money is leaking in a place most owners don't inspect closely enough. A claim can pay, post, and […]
Sports Medicine Out-of-Network Billing Services in New Jersey
The right sports medicine out-of-network billing services in New Jersey can recover revenue that routine claim submission leaves behind, but the biggest […]
Acupuncture Out-of-Network Billing Services in New Jersey
“Submit a superbill and wait for the plan” is not a reliable out-of-network acupuncture strategy in New Jersey. Covered doesn't mean fully […]
ERISA Appeal Rights for Out-of-Network Healthcare Providers
Out-of-network providers with a valid assignment of benefits can appeal directly to self-funded ERISA plans and, when needed, sue in federal court […]
Family Practice Billing Services That Protect Revenue
Family practice billing services matter because claim denials are running about 11.8% in 2024, and in family practice the difference between average […]
How to File a NJ DOBI Complaint for Underpaid Out-of-Network Claims
Quick answer: 3-step process: (1) exhaust the payer internal appeal, (2) file at NJ DOBI online complaint portal with a documented Fair […]
When to Outsource Medical Billing: Signs Your Practice Is Ready
A practice is ready to evaluate outsourcing when denial rates stay above 5% to 8%, A/R rises beyond 40 days, or authorization, […]
8-Step No Surprises Act Compliance Checklist
A compliant practice must verify protection status, provide required Good Faith Estimates and Advanced EOB readiness where applicable, validate providers and facilities, […]
Private Practice Billing Services: The Complete Guide
An 8% first-submission denial rate is a practical benchmark for physician practices, based on 2023 MGMA-reported data summarized by MedPrecision Billing. For […]
10 Oncology Billing Companies to Compare in 2026
There is no universally best oncology billing company. The right choice depends on your oncology mix, EHR, outsourcing scope, payer complexity, and […]
How to Bill Out of Network Insurance
If you're billing out-of-network insurance, submit the claim only after you've confirmed the patient's benefits, the service's legal status, the payer's submission […]
Billing for Pain Management Services: Complete Guide
Medicare's payment for chronic pain management changed on January 1, 2023, when CMS began paying separately for CPM services. The main codes, […]