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.
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.
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.
Medical Billing / RCM | Industry News | Medical Practice | CMS
If your practice bills Medicare, January 1, 2027 is coming with a pay cut attached. In July, CMS released its proposed 2027 Medicare physician fee schedule, and for most physicians the conversion factor drops 1.68%, from $33.40 to $32.84. Qualifying APM participants fare slightly better, with a 1.19% drop to $33.17. Most of the cut comes from the expiration of the one-time 2.5% bump Congress provided for 2026. Small statutory updates of 0.25% and 0.75% do not make up the difference. A 1.68% cut sounds small. For a specialty practice with tight margins, rising costs and a heavy procedure mix, it rarely lands as 1.68%. The question is not whether Medicare reimbursement cuts are coming. It is how much they will cost you, code by code. Want your number now? Estimate your 2027 Medicare impact with our free calculator.
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.
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.
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.
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.