Revenue Rx

 The prescription for maximizing reimbursement, streamlining operations, and avoiding costly mistakes in healthcare billing.

Why Internal Audits Fail and What That's Costing You

Most organizations run internal audits (and they should). Most organizations believe those audits are working. And most organ...

Continue Reading...
FCA Settlement Cases and What We Can Learn from Them

I presented at the HCCA 30th Annual Compliance Institute this year on a session called “When Compliance Fails: Behavioral Hea...

Continue Reading...
Paid vs Defensible Claim: There is a Difference.

If a claim paid, it must be fine. That belief is one of the most expensive assumptions in healthcare billing. The reality is ...

Continue Reading...
When Every Payer Writes Their Own Rules: The Regulatory Interpretation Crisis in Behavioral Health

I want to ask a question that I think every behavioral health provider, compliance officer, and billing director in this coun...

Continue Reading...
Psychotherapy Audits

Why 60 Minutes Isn’t Enough: Surprisingly 90837 Fails Audits More Than You Would Expect

If you are billing 90837 the 60-minu...

Continue Reading...
The Hidden Cost of Being Out of Network

Providers have the right to choose whether they participate in insurance networks. That decision is not reckless, unethical, ...

Continue Reading...
1 2 3 4 5 6