Our Blog

Every day, healthcare providers deliver care in different settings—sometimes in a private office or a hospital outpatient center. But when it comes to getting paid for those services, the difference between these places isn’t just physical—it’s found in two small numbers on a claim: POS 11 and POS 22. These two-digit Place of Service (POS) […]

If you’ve spent even a few months inside an ophthalmology clinic, you already know this code is both a money maker and a headache. CPT 92014 looks innocent — just a “comprehensive re-evaluation” for established patients — but it carries enough rules to make even experienced billers stop mid-claim and double-check the guidelines. And that’s […]

When people decide it’s finally time to see a therapist, one of the first hurdles they hit is alphabet soup. The therapist directory looks like a Scrabble board — LCSW, LMFT, LPC, LCPC, PsyD, PhD, LCAT… and it just keeps going. Two of the most common — and most confusing — titles are LCSW and […]

If you’ve ever submitted a claim to an insurance payer only to have it denied because it was “filed too late,” you know how frustrating timely filing limits can be. Missing these deadlines can mean losing thousands of dollars in reimbursement —a problem that happens more often than you think. This guide will explain everything […]

Identifying and recording the correct guarantor is key to clean claims submission, accurate patient billing, and effective revenue cycle management (RCM). The guarantor plays a central role in the financial responsibility for a patient’s care, and any error in recording this information can lead to billing delays, claim rejections, and unnecessary confusion for both staff […]

Credentialing is essentially the insurance companies’ way of doing homework on you. They need to verify that you are who you say you are—that your medical license is valid, that you’ve completed your training, that you have no major red flags, and that you’re qualified to provide the care you’re billing for. If you don’t […]