Resources · blog archive
Medical billing blog archive page 6 of 6
Earlier posts, newest first. Each one is written and reviewed by the billing team, works through a hypothetical example and lists the sources it rests on. The latest posts, the category list and the search box are on the first page of the medical billing blog.
Posts on page 6
- Coding and documentationWhen a payer downcodes your E/M level: Cigna's R49 and how to respondCigna's policy R49 reviews 99204-99205, 99214-99215 and 99244-99245 and can pay one level lower. What the policy says, and how to document and dispute.Read
- Denials and appealsWhat a 277CA rejection means, and why it never shows up on the ERAA 277CA tells you whether the payer's front end accepted your 837 or rejected it. Rejected claims never reach the 835, and the filing clock keeps running.Read
- Home care and home healthEVV aggregator changes in 2026: what Illinois's move to the HHAeXchange portal teaches every agencyIllinois moved in-home providers to the HHAeXchange EVV portal on March 2, 2026, enrollment due January 19. A checklist for any state's aggregator change.Read
- NEMT billingAmbulatory, wheelchair or stretcher: billing the right NEMT level of serviceBilling a wheelchair trip for a rider who walked is the upcoding the CMS NEMT booklet warns about. How level of service is set, documented and coded.Read
- Practice operationsReconciling ERA payments to bank deposits every month, without a spreadsheet warEvery 835 balances at service, claim and provider level; the PLB explains why the EFT differs from the claims. How to match remits to the bank monthly.Read
- Denials and appealsHow to check the Medicare Coverage Database before you bill a serviceThe Medicare Coverage Database holds every NCD, LCD and billing article. A lookup by code and state that prevents CO-50 denials before you bill.Read
- NEMT billingNEMT loaded mileage billing: what counts, how it is documented and where claims go wrongLoaded mileage is an audit point in the CMS NEMT booklet. How each state defines it, how to document it and which mileage errors get recouped in audits.Read
- Practice operationsYear-end billing checklist for 2026: what changes on January 1, 2027Fee schedules, deductibles, prior authorizations and payer APIs all move on January 1, 2027. The year-end checklist a small practice runs in December.Read
- NEMT billingWhy NEMT providers should check Medicaid eligibility before every trip from 2027Six-month Medicaid renewals and work rules arrive by January 2027. Why a trip authorized last month can be unpayable today, and the check that catches it.Read
- Denials and appealsReading CARC and RARC codes together: why the pair mattersCARC and RARC codes explained as a pair: why the group code matters, which CARCs need a remark code, the common pairs and how each pair routes the fix.Read
- Practice operationsWhat a medical billing company actually does, week by weekWhat a medical billing company does each week: eligibility checks, 837P claims, 835 posting, denials, A/R follow-up and the report you should expect.Read
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