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Medical billing blog: working notes from the billing desk
Short pieces on the things that come up when claims are worked every day: a payer's new edit, a code that keeps denying, a report line owners misread. Each post is written and reviewed by the billing team, works through a hypothetical example and lists its sources.
Last reviewed by the Remitwright billing team. Editorial policy
All posts
- LatestNEMT billingNEMT cash flow reconciliation: matching broker payments to bank deposits every weekTrip reconciliation says what was paid; cash reconciliation says where it landed. The routine that ties broker remits, factoring advances and deposits.Updated Read the post
- Payers and deadlinesMedicare additional documentation requests (ADRs): the 45-day clock, who is asking and what to sendA Medicare additional documentation request response has a deadline set by who asks: MAC, RAC, SMRC, CERT or UPIC. What to send and how to track it.Updated Read
- Practice operationsHow to read a billing report: the questions to ask your biller and the two numbers that predict troubleHow to read a billing report as the owner: the questions to ask your biller each week, the two numbers that move before cash does, and a worked example.Updated Read
- NEMT billingNEMT trip reconciliation: matching trips to remittances every weekNEMT trip reconciliation, step by step: the three records to match, the four outcomes a trip lands in, a weekly routine and the mismatches to prevent.Updated Read
- Practice operationsWhat your billing company's BAA must say, clause by clause45 CFR 164.504(e) sets what a business associate contract must contain. The clauses to check in a billing company's BAA before you hand over claims data.Updated Read
- Coding and documentationThe October 1 ICD-10 update: a billing workflow for the first 60 daysFY 2027 ICD-10-CM codes apply to encounters from October 1, 2026. A billing workflow that keeps retired codes off claims and catches late payer edits.Updated Read
- Credentialing and enrollmentCAQH is now DataSpring: what changes for your Provider Data Portal profileCAQH became DataSpring on June 7, 2026 and caqh.org now redirects to dataspring.com. What stays the same in the Provider Data Portal and what to re-check.Updated Read
- Denials and appealsHow to write a claim appeal letter a payer will actually readFew denials are appealed, yet MA plans overturned most appealed prior auth denials in 2024. How to write a claim appeal letter and the packet behind it.Updated Read
- Home care and home healthEVV exceptions and the claims that follow: who fixes what, and when the claim can goEVV exceptions explained: the common reasons a home care visit fails verification, who fixes each one, and why the claim is held until the record matches.Updated Read
- NEMT billingHow to prepare when your state changes NEMT brokersWisconsin named a new NEMT vendor in May 2026 and Montana moved to a broker on October 1, 2026. A checklist for enrollment, open claims and dispatch.Updated Read
- Payers and deadlinesHow to read an ERA: the 835 segments a biller actually looks atHow to read an ERA: the 835 header, claim status, adjustments by group code with CARC and RARC, the PLB section and how to balance it to the deposit.Updated Read
- Practice operationsThe 2027 Medicare fee schedule proposal: a 1.68% cut and how a small practice plans for itThe 2027 Medicare physician fee schedule proposed cut lowers the conversion factor as a one-year increase expires. How to model it on your top codes.Updated Read
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