Latest posts
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The 5 Biggest Pain Points in FQHC Billingāand How to Solve Them
For Federally Qualified Health Centers (FQHCs), billing isnāt just complexāitās uniquely demanding.Unlike traditional provider organizations, FQHCs face a highly regulated, grant-funded, and payer-diverse environment that introduces billing, compliance, and documentation hurdles at every stage of the revenue cycle. From flat PPS reimbursements to HRSA audit exposure and Medicaid-specific rules, most FQHC billing teams are forced…
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šø The $100K Denial Problem: Why Medicare Billing Mistakes Are Costing Providers More Than Ever
Unresolved Medicare denials arenāt just an administrative hassleātheyāre silent revenue killers. Across the country, providers are leaving tens of thousandsāsometimes hundreds of thousandsāof dollars on the table each year due to preventable billing and coding errors. Whatās worse? Many donāt realize it until itās too late for appeals or corrections. As a 25-year Medicare RCM…
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Modifier 25 and Medicare Denials: How to Protect Office Visit Revenue in 2025
Medicare denials for office visits are on the riseāand Modifier 25 is one of the biggest culprits. If your practice is experiencing denials for E/M services billed on the same day as procedures, you’re not alone. In 2023, multiple Medicare Administrative Contractors (MACs) ramped up pre-payment edits and post-payment reviews targeting misuse of Modifier 25,…