Aetna–Zelis Antitrust Case: Impact on Medical Billing
medical billing Aetna–Zelis Antitrust Case: Impact on Medical Billing Home / Medical Billing Underpayments Bryan Fury October 13, 2026 Medical Billing Services No Comments Aetna won dismissal of the claims against it in the Zelis repricing antitrust case on September 30, 2026. For healthcare providers, the bigger concern is how insurance companies and third-party vendors […]
CPT Code 88305: Surgical Pathology Billing & Denial Fixes
CPT Code CPT Code 88305: Surgical Pathology Billing & Denial Fixes Home / CPT Code 88305 Bryan Fury October 1, 2026 Account Receivable Services No Comments Many pathology practices bill CPT 88305 every single day and still leave thousands of dollars on the table every month. Wrong modifiers, combined specimen jars, missing ICD-10 links, and […]
Top 5 Billing Companies in Florida (2026 RCM Guide)
Medical Billing Top 5 Affordable Billing Companies in Florida (2026 RCM Guide) Home / Affordable Billing Companies in Florida Bryan Fury September 28, 2026 Account Receivable Services No Comments Hiring one in-house medical biller in Florida costs between $55,000 and $72,000 per year, and that’s before software, training, and benefits. Meanwhile, your denial rate climbs, […]
Top 5 Best Endocrinology Medical Billing Companies in USA
Medical Billing Top 5 Best Endocrinology Medical Billing Companies in USA Home / Endocrinology Medical Billing Companies Bryan Fury September 24, 2026 Medical Billing Services No Comments Your CGM claim gets denied. Your staff spends three hours on hold with a payer. The resubmission goes out late. And the billing company? They mark it as […]
In-House vs. Outsourced Home Health Billing: True Costs
Medical Billing In-House vs. Outsourced Home Health Billing: True Costs Home / In-House vs. Outsourced Home Health Billing Bryan Fury September 22, 2026 Medical Billing Services No Comments Home health agencies lose real revenue every day a claim sits unworked, miscoded, or denied. The real question isn’t whether billing matters; it’s who should run it. […]
CPT Code 96365: Coverage, Billing Rules & Denial Fixes
CPT Code CPT Code 96365: Coverage, Billing Rules & Denial Fixes Home / CPT Code 96365 Bryan Fury September 14, 2026 CPT Codes No Comments Three infusion codes sit on the same decision tree: 96360, 96365, and 96374. Coders mix them up more often than payers allow, and that single mix-up causes a large share […]
CPT Code 64721: ICD-10, Modifiers & Coding Guide
CPT Code CPT Code 64721: ICD-10, Modifiers & Coding Guide Home / CPT Code 64721 Bryan Fury September 8, 2026 CPT Codes No Comments A denied claim for CPT 64721 rarely comes down to the surgery itself; it’s a modifier, a mismatched diagnosis code, or a documentation gap that a payer’s system flags before anyone […]
CPT Code 84443 (TSH): Codes, Denials & ICD-10 Pairs
CPT COdes CPT Code 84443 (TSH): Codes, Denials & ICD-10 Pairs Home / CPT Code 84443 Bryan Fury September 2, 2026 CPT Codes No Comments A denied TSH claim rarely comes from ordering the wrong test. It comes from a coding step that looked routine and got skipped. CPT code 84443 is one of the […]
DMEPOS Supplier Enrollment Moratorium Ends August 2026
Supplier Enrollment DMEPOS Supplier Enrollment Moratorium Ends August 2026 Home / DMEPOS Supplier Enrollment Moratorium Bryan Fury August 28, 2026 News and Categories No Comments On August 27, 2026, CMS lifted the DMEPOS supplier enrollment moratorium it had imposed six months earlier. If you run or manage a durable medical equipment, prosthetics, orthotics, and supplies […]
NOA vs RAP in Home Health Billing: Deadlines & Penalties
Home Health Billing NOA vs RAP in Home Health Billing: Deadlines & Penalties Home / NOA vs RAP in Home Health Billing Bryan Fury August 28, 2026 Home Health No Comments A missed filing window is one of the fastest ways a home health agency loses revenue it already earned. Medicare retired the old Request […]