workers' Comp | Personal Injury
The wound care claim came back denied. Again. Not because the treatment was wrong. Because the note did not prove it was medically necessary. Now your biller is fighting an appeal, the workers' comp adjuster wants more paperwork, and the patient's attorney is asking why the file has not moved.
An EMG denial rarely says "wrong code." It says bundling, units, or medical necessity. By the time it lands, the study is done, the patient is gone, and your team is rebuilding the claim from memory.
The Importance of Patient Engagement: Why They - And You - Need It
Learn why patient engagement is a necessity and how you can master it within your practice.
Most podiatry practices lose money in Q4 the same way every year. Not through one big mistake, but through a dozen small ones that all come due at the same time: aging claims nobody worked, patient balances that roll into a new deductible year, and coding changes that never made it into the system.
Every laboratory has denials. The more useful question is why your laboratory keeps having the same ones.
Three days, one very loud expo hall, and more conversations about modifier 25 than any of us expected. ADS and Moyae just wrapped our first AAO together in New Orleans, and before the notes go cold, here is what ophthalmology practices were actually asking about.
It's October, and the questions start coming in. Did we start our Promoting Interoperability period in time? When was the last security risk analysis? Is our EHR still certified? And what exactly changes for neurology practices in 2027?
Wound care is one of the most valuable services a podiatry practice provides, and one of the easiest to lose money on. The care is usually right. The note is what fails. A missing depth measurement, an ulcer coded like a wound, or a debridement code that doesn't match the tissue removed is enough to turn a paid claim into a denial, a downcode, or a refund request after an audit.
Your billing manager pulls the aging report on a Friday afternoon. The EMG claims from three weeks ago are still sitting there. Two EEGs came back denied for medical necessity. An infusion claim bounced because the diagnosis code didn't match the one on the authorization. None of these were clinical mistakes. Every one of them was a billing problem.
Ask five people at a practice what revenue cycle management means, and you will likely get five different answers. The front desk thinks it is insurance verification. The billing team thinks it is claims and denials. The physician thinks it is whatever happens after they finish a chart note. All of them are partially right, and that fragmented understanding is exactly why so much revenue disappears between patient visit and deposited payment.
Medical Billing / RCM | Genomic Testing | Laboratory
The AMP 2026 Annual Meeting & Expo runs November 10 to 14 in Seattle, with the main program November 12 to 14. The ADS lab team will be in Booth #1901. Molecular lab leaders will spend three days on new assays, sequencing workflows and what comes next in precision diagnostics. The science gets the spotlight. The billing decides whether those tests get paid. If you are heading to Seattle, here are five questions worth bringing with you, and worth answering before your next payer audit.