Medicare Daily Rate for Skilled Nursing Facility: 2027 Guide
The new Medicare daily rate for skilled nursing facility 2027 payments starts on October 1, 2026. If your billing system, your expected-payment tables or…
Articles by Muhammad Ibrahim
BCBS Texas Timely Filing Limit 2026: Avoid Costly Denials
Ask five billers for the BCBS Texas timely filing limit and you may get five answers: 95 days, 180 days or 365 days. They…
FQHC PPS Rate 2026: Ultimate Guide to Avoid Costly Mistakes
The FQHC PPS rate for 2026 is the amount Medicare pays a federally qualified health center for each qualifying visit, and small mistakes can…
SNF PDPM Urban vs Rural Rates FY 2027: Simple Rate Guide
If you price a Medicare Part A stay from the wrong rate table, every number after it is wrong: your revenue projection, your expected…
SNF Consolidated Billing: Easy Guide to the 2026 Exclusions
SNF consolidated billing decides who gets paid when a Medicare patient in a covered Part A skilled nursing facility stay needs labs, X-rays, therapy,…
Revenue Code 0022: SNF PPS Billing Guide for HIPPS Claims
Revenue code 0022 is on every Medicare Part A skilled nursing claim, yet it causes a steady stream of returned claims. One missing occurrence…
PDPM HIPPS Code: 5 Characters Explained the Easy
A PDPM HIPPS code is the 5-character code that tells Medicare how much to pay for every day of a skilled nursing facility (SNF)…
FQHC Telehealth Billing 2026: Easy Guide After G2025 Ends
FQHC telehealth billing changed on October 1, 2026. For years, FQHCs and RHCs billed almost every Medicare distant-site telehealth visit on one code, G2025.…
Provider Credentialing in Texas: Simple Step-by-Step Guide
A step-by-step guide to provider credentialing and payer enrollment in Texas: the documents you need, CAQH, Medicare and Medicaid enrollment, commercial payers, typical timelines…
G2211 Modifier B1: 6 Easy Steps for the 2027 Change
G2211 modifier B1 is the change every Medicare practice billing office and outpatient visits needs to plan for: starting January 1, 2027, the G2211…
Home Health Consolidated Billing: Easy 2026 Guide to Rules
Home health consolidated billing means one thing for your claims: while a Medicare patient is under a home health plan of care, the home…
Superior HealthPlan Timely Filing Limit: 95 Days Made Easy
The Superior HealthPlan timely filing limit is 95 days from the date of service, and it leaves almost no room for slow billing. Superior…
Medicare Open Enrollment 2027: Easy Provider Checklist
Medicare open enrollment 2027 runs from October 15 to December 7, 2026, and every plan change takes effect on January 1, 2027. For your…
Revenue Code 0900: Behavioral Health Codes Made Simple
Revenue code 0900 is the general behavioral health revenue code on institutional claims, and it is one of the most misused codes on the…
FQHC Wrap-Around Payment: 7 Easy Steps to Get Paid in Full
The FQHC wrap-around payment is the money Medicare owes your health center when a Medicare Advantage (MA) plan pays you less than your FQHC…
Medicare Timely Filing Limit: 12-Month Rule Made Simple
The Medicare timely filing limit is 12 months from the date of service, and it is one of the few Medicare rules with almost…
Modifier 25 Reduction: Avoid 6 Costly Same-Day Mistakes
The modifier 25 reduction starts on January 1, 2027, and it hits the "see and treat" visits many practices bill every day. A joint…
2027 Medicare Conversion Factor: 2.31% Cut, Simple Guide
The 2027 Medicare conversion factor is $32.63 for most clinicians, and that means Medicare pays less for almost every service you bill starting January…
Home Health NOA: Ultimate 5-Day Guide to Avoid Late Mistakes
A home health NOA that reaches Medicare even a few days late quietly cuts your 30-day payment, and most agencies don't notice until the…
Behavioral Health H Codes: 15 Codes Explained the Easy Way
Behavioral health H codes are the HCPCS Level II codes most state Medicaid programs use to pay for counseling, crisis care, peer support, psychosocial…
No Surprises Act IDR Process: 2026 Steps and Easy Fee Guide
An out-of-network claim comes back paid at a fraction of your charge, and the patient can't be balance billed. For many practices that money…
2027 ABA CPT Codes: 6 New Codes, the 97155 Split and Deleted T-Codes
The 2027 ABA CPT codes take effect on January 1, 2027, and they change more than any ABA code update since 2019. Six new…
90791 vs 90792: Ultimate Guide to Avoid Costly Mistakes
90791 vs 90792 is the first coding choice on almost every new mental health patient, and it's easy to get wrong. Bill 90792 when…
CPT Code 90837: 2026 Rates, 53-Minute Rule and Easy Fixes
CPT code 90837 is the most-billed psychotherapy code, and also the one payers question most. Bill it for a 50-minute session and you risk…
SNF 3-Day Rule: Avoid 6 Costly Qualifying Stay Mistakes
The SNF 3-day rule is the first thing Medicare checks on a skilled nursing Part A claim, and it's the easiest one to get…
2027 Home Health Rates: Avoid 6 Costly PDGM Billing Mistakes
The 2027 home health rates are final, and they start on January 1, 2027. CMS says aggregate home health payments go up 2.4%. That…
Texas Medicaid Timely Filing: 95-Day Rule and 7 Easy Fixes
Texas Medicaid timely filing gives you one of the shortest claim windows in the country: TMHP must receive most claims within 95 days of…
IOP Billing 2026: Ultimate Guide to Avoid Costly Mistakes
IOP billing is where behavioral health programs lose money most quietly. Medicare, Medicaid and commercial payers each want different codes, claim forms and rules…
How to Reduce Claim Denials: 9 Proven Steps for Practices
Most claim denials are preventable. Learn the most common denial reasons, what the codes on your ERA mean, and 9 practical steps your practice…
90834 vs 90837: Ultimate Guide to Avoid Costly Mistakes
90834 vs 90837 is the choice therapists make after almost every session, and getting it wrong costs money either way. Bill a 55-minute session…
In-House vs Outsourced Medical Billing: Best Choice Guide
Should your practice keep billing in-house or partner with a medical billing company? Compare the real costs, control, expertise and risks of each option,…
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