Guides
Medical billing guides
Practical reading for practice owners, office managers and people who run billing companies. You don't have to sign up for anything.
For practices
Getting your claims paid
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How to work aged A/R and which claims to start with
Which aged insurance claims to chase first and what to check before you call, along with how to decide when a balance should be written off.
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Common claim denial codes and where to start on each
What the common claim adjustment codes usually mean, and how to work out what went wrong on a claim before you decide what to do next.
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Claim rejections and denials, and how to handle each one
A rejected claim and a denied claim need different fixes and run on different deadlines. How to tell which one you've got and what to do with it.
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The basics of billing CCM and CPO
The requirements and common codes for chronic care management and care plan oversight, plus the mistakes that can leave you paying money back.
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Deciding between in house and outsourced medical billing
How to add up what in house billing costs you against what outsourcing would cost, and which numbers to compare before you decide.
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How percentage of collections pricing works for billing
Two billing companies can quote the same percentage and cost you very different amounts. How the fee math works, and what to check before you sign.
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How to switch medical billing companies and keep old claims moving
A plan for changing billing companies step by step, covering contract checks, who handles the old A/R, data access and the first 90 days.
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How timely filing limits work in medical billing
How filing limits work for Medicare, Medicaid and commercial payers, and what to keep on file in case a payer says your claim came in late.
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What a medical billing audit should check
Which reports to ask for in a billing audit and what to look at in each one, so you end up with findings you can act on.
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What to do when your biller quits or retires
The first steps when your biller quits or retires, including who has access, which claims are at risk, upcoming deadlines and keeping cash coming in.
For billing company owners
Selling your billing company
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How to sell a medical billing business
What to get ready before you sell your billing business and how to look after clients in the handover, with a look at how deal structures divide risk.
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A retirement checklist for billing company owners
What to do in the years and months before you retire from your billing business, so you still have options for your clients and your company.
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Revenue share or seller financing when you sell a billing business
How revenue share and seller financing differ when you sell a medical billing business, including who carries which risk if clients leave.
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How to sell part of your billing client list
How to sell only some of your medical billing accounts, which clients to include, what happens to the ones you keep, and what to get in writing.
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How to tell your billing clients you're selling
When to tell clients you're selling your billing business and what to say, including how to handle contracts that require their consent.
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How buyers work out what a medical billing business is worth
What buyers look at when they value a billing company or client book, including verified revenue, retention, concentration and owner dependence.
Find out what your claims are leaving behind
Send us your denial and A/R reports and you'll have a written report within 48 hours, for free. You can keep your current biller while you decide.