MedHeave Blogs
Your billing reports tell you more than you are looking at. This is where you can learn to decipher it all (or perhaps most of it).
Behind every clean claim is a surprising amount of payer guidance, coding updates, policy changes, and industry nuance. Our billing team spends every day interpreting these changes, applying them to real-world claims, and finding ways to improve revenue cycle performance for the practices we support. This blog is where we share those insights, updates, and practical guidance with you.
P.S. You don’t have to read any of it when we’re your billers. Our team is already on top of coding changes and payer updates. We’ve made this page just to feed your curiosity.
Step therapy (also called “fail first”) is an insurance coverage rule that requires patients to try one or more preferred, […]
MCG guidelines (formerly known as Milliman Care Guidelines) are evidence-based clinical decision-support criteria used by healthcare organizations to: MCG Health […]
InterQual criteria are proprietary, evidence-based clinical guidelines that healthcare organizations use to evaluate medical necessity and determine the appropriate level […]
These articles are worth your time (even if billing isn't your favorite topic).
We know medical billing probably isn’t at the top of your reading list. That’s why we dissect the details for you and highlight the payer updates, coding insights, and revenue cycle topics that are important to your revenue.Â
We Run the Revenue. You Run the Practice.
One conversation with our team and you will know where your billing is failing and how fixing it will increase your revenue by 15-25%.
Insights from the billing floor
Every billing service comes with a new headache. Consider this the medicine cabinet.
Behind every part of the revenue cycle are rules, policies, and details that impact reimbursement. We take the complex parts of billing and break them down into practical insights your practice can actually apply.
We write these newsletters so you don't have to Google things at 11 pm.
Consider us your billing informant. We watch what payers are up to and report back before it becomes your problem. No spam, just the good stuff, occasionally with an eye roll included.
