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.
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.
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 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.
The 54th Annual Goldfarb Clinical Conference runs Thursday, November 5 through Sunday, November 8, 2026 at a new venue this year, the Hilton Philadelphia City Avenue. It is in person only, there is no virtual option, and full participation earns up to 30 CME credits across the Act 124 and Act 31 trainings, the APMA Coding Seminar, the Risk Management Update, and the Friday through Sunday clinical lectures.
Medical Billing / RCM | Electronic Health Records | CMS
Waiting on authorizations while beds stay full? See how ADS supports enterprise health systems and rural hospitals from one record. A patient is medically ready to move to inpatient rehab. Your case manager is on hold with a Medicare Advantage plan, waiting on an authorization. The bed stays full. The ED backs up behind it. When the answer finally arrives, it's a denial.
Medical Billing / RCM | Electronic Health Records | CMS
Running inpatient status through three disconnected systems? See how ADS supports enterprise health systems and rural hospitals from one record. A patient sits in observation for 36 hours. Your physician is sure the stay needs inpatient care. Your case manager is on the phone with a Medicare Advantage reviewer who disagrees. Three weeks later, the claim comes back denied, and your team starts an appeal from scratch.
Your lab ran the panel correctly. The science isn't in question. But the claim came back denied because a Z-code was missing, and now your compliance manager is wondering if this is a billing problem or the start of something bigger. In 2026, it's often both.
The denial letter doesn't say your surgeon did anything wrong. It says the documentation didn't prove it. That distinction is costing orthopedic practices real money, and it's happening on claims for procedures your surgeons perform correctly every week.