When clinicians handle the billing themselves, they spend considerable time, money, and effort on administrative tasks rather than doing what they do best-providing outstanding medical care. Trained and specialized Radiology Billing specialists understand the changing rules and regulations for specialties and the nuances of payer-specific guidelines in their respective regions.

The HCFA 1500 form is the standard claim form radiologists use for outpatient billing. This guide explains its key sections, common errors, and how to submit claims the right way to avoid denials and improve reimbursement.

RBT supervision billing can be complex for BCBAs, with strict payer rules and documentation requirements. This guide explains CPT codes, common mistakes, and best practices for billing supervision accurately while reducing denials and staying compliant.

Credentialing is the gateway to compliance, trust, and financial success. Explore how modern credentialing strengthens revenue cycle management and patient safety.

The adage, “Prevention is better than cure”, does apply to Claim Denials as well. An effective denial prevention program requires an iterative process that includes identification of root cause, finding solutions to prevent the issue from recurring in the future, the institutionalization of these procedures through updates to standard operating procedures, and training the staff on these practices. In this whitepaper from Medical Billing Wholesalers, we bring you a few steps that you can take to prevent denials.

Orthopedic billing is complex, especially for joint replacements and fracture care. This guide breaks down essential strategies to ensure accurate coding, proper use of modifiers, and adherence to payer policies for better reimbursement and fewer denials.

Echocardiography billing is complex, with strict coding and documentation rules. This guide outlines key best practices to help your cardiology practice maximize reimbursement, reduce denials, and stay compliant.

Neurology billing guidelines have been updated to reflect critical changes in CPT codes, telehealth billing, and documentation standards.

Read how specialized ABA medical billing services helped a Phoenix clinic cut claim denials from 27% to 6% and reduce A/R days from 78 to 32.

Efficient patient registration and clear communication are essential to healthcare RCM, reducing errors, minimizing claim denials, and ensuring financial stability.

Patient registration is the gateway to revenue cycle success. Accurate data and eligibility checks reduce denials, speed up payments, and build patient confidence from day one.

Reducing reimbursement rates, increasing infrastructure costs, and shifts in payer mix create challenges for radiology practices. Download this guide on Radiology Best Practices to learn more.

Bariatric surgery billing requires accurate CPT coding, such as 43770–43775 for common procedures, and matching ICD-10 codes to justify medical necessity. Compliance with CMS documentation, correct modifier use, and timely pre-authorizations are essential to reduce denials and accelerate reimbursement in 2025.

Denied claims are the type of claims that were received and processed by the insurance payer and a negative determination was made. It is no wonder that in Physical Therapy there are a greater number of denied claims compared to any other specialty. Read more about reasons for claim denials in Physical Therapy and ways to rectify them.

Read how we recovered $200K in underpayments for an Atlanta radiology practice, restoring lost revenue and improving cash flow.

Tracking the right KPIs ensures better revenue management and client satisfaction. Learn how medical billing services can help optimize key performance metrics.

The top revenue cycle trends for 2025 are set to transform healthcare finance. Find out how AI, analytics, and telemedicine are driving change.

Payer-Specific Credentialing is vital in healthcare. This blog explains how Medicare, Medicaid, and commercial insurance processes differ and impact your revenue.

Choosing between manual review and automation is key to stopping underpayments. Here’s how to decide what works best for your practice’s revenue cycle.