A patient comes in for a scheduled CGRP infusion, part of an ongoing chronic migraine treatment plan. The clinical visit goes exactly as planned. Three weeks later, the claim comes back denied because the infusion sequencing code and the primary drug code were billed out of order, and the payer's system flagged it as a duplicate rather than a coordinated administration.
Medical Billing / RCM | Laboratory
Molecular diagnostics continues to change what is possible in medicine. Genetic testing, next generation sequencing, biomarker testing and other advanced diagnostics are giving clinicians increasingly sophisticated information to help diagnose disease, guide treatment and support precision medicine.
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.
The final quarter of 2026 is here, and laboratories have plenty to think about before January.
Ophthalmology billing is some of the most code-dense work in medicine. One busy clinic day can mix eye exam codes, E/M visits, imaging, injections with drug codes, and surgery inside a 90-day global period, and every one of them needs the right eye, the right modifier, and documentation to back it up.
About 25,000 eye care professionals will be at the Ernest N. Morial Convention Center in New Orleans for AAO 2026, October 9 to 12. Subspecialty Days run Friday and Saturday. The Opening Session is Saturday morning with Janet L. Davis, MD delivering the Jackson Memorial Lecture. Robert Wachter, MD is speaking on how AI is transforming healthcare. Monday closes with the Spotlight on Cataract.
Medical Billing / RCM | RCM | behavioral health
A counselor finishes back-to-back sessions and still has six treatment plans to update before the day ends. The billing team, three desks away, is fighting a stack of denials on claims for sessions that happened weeks ago. Neither problem is really about effort. Both trace back to the same source: behavioral health billing runs on rules that a general medical billing process was never built to handle.
Medical Billing / RCM | RCM | behavioral health
Payroll is due Friday. Your CFO is looking at a receivables report where a third of the balance is more than 60 days old, most of it tied to per diem claims for residential treatment stays that ended weeks ago. The clinical work happened. The cash has not.
If you run an ophthalmology practice, the proposed 2027 Medicare Physician Fee Schedule is not a document you can skim and file. It combines a lower conversion factor with targeted cuts that land squarely on ophthalmology billing and RCM, because of the way ophthalmology actually practices: high procedure volume, frequent same-day evaluation and procedure, and a heavy Medicare mix.
A neurology practice runs its numbers at the end of the quarter and finds nearly one in five claims came back denied. Nobody can point to a single cause. The truth is there rarely is one. Neurology denials tend to cluster around five specific, well-documented triggers, and most practices are fighting all five at once without realizing it.
Medical Billing / RCM | Laboratory
Losing revenue between the order and the deposit? See how ADS laboratory billing software checks claims before they go out. Your lab just posted its best test volume in three years. Collections didn't keep pace. Somewhere between the order and the deposit, revenue is leaking through modifier errors, LCD mismatches, and claims that never cleared a payer edit. Nobody on staff has time to trace where.