Our Blogs

Confused about Modifier 96 and Modifier 97? Explore their billing differences, appropriate use cases, documentation requirements, and coding best practices.

If you bill ABA services for NC Medicaid beneficiaries, Policy 8F has just moved again. The state released a revised draft during a 10-day additional public comment period, with several changes worth understanding now, before they hit your billing team's workflow. None of this is final yet. Here's what actually changed, what didn't, and what's just a paperwork fix dressed up to look bigger than it is. What Changed in the Revised NC Medicaid ABA Policy The most important updat

Understand the GP modifier, KX modifier, and GA modifier in therapy billing. See when to use each modifier for accurate therapy billing and claims.

PT billing units aren't difficult once you know the rules. See how therapy units, CPT codes, and unit calculations affect payment on every claim.

An RCM audit finds the revenue leaking from your billing process. Here's how to run one step by step, plus a free checklist for healthcare providers.

Confused by copay vs deductible vs coinsurance? This guide breaks down each health insurance term clearly so you know exactly what you owe and when.

Struggling to find the right pediatric billing service? Let's help you compare options in 2026, avoid common mistakes, and keep your revenue flowing.

From wound assessments to treatment notes, learn what should be documented, how wound documentation are performed, and the documentation requirements providers should follow.

Indiana has temporarily stopped new ABA provider enrollments. Explore the reasons behind the decision, who is affected, and what comes next for providers.