Credentialing and Payer Enrollment Timeline for a New Medical Practice: 8 Phases from Entity to First Claim
How a new medical practice gets ready to bill insurance after the entity is formed: group NPI, provider files, a tiered payer strategy instead of applying everywhere, Medicare, Medicaid and commercial enrollment, EDI/EFT/ERA, and connecting credentialing to scheduling.
Credentialing a New Provider: From Signed Offer to Billing-Ready in 8 Steps
Hiring a provider and adding them to your payer contracts are different processes. The eight steps — provider file, NPPES, CAQH, payer map, Medicare reassignment, Medicaid, commercial payers, and tracking past “approved” to a confirmed effective date.
Your Medical Biller Just Quit: The 48-Hour Revenue Continuity Plan
What to do in the first 4 and 48 hours after a medical biller resigns: secure access, snapshot the revenue cycle, keep claims moving, protect money in flight, assign temporary owners, then decide whether to hire, outsource or go hybrid.
A/R Over 90 Days: What Percentage Is Too Much for a Medical Practice?
Under 10% of A/R over 90 days is strong, 10–15% needs watching, over 20% needs a review. How to calculate it, the nine reasons A/R gets old, and what to ask when the answer is “we’re working it.”
How to Choose the Right EMR for a New Medical Practice: Workflow, Billing, Reporting, Cost and Exit
The right EMR supports patient care and the business underneath it. How to run a workflow demo, what to test in billing and reporting, the real-price worksheet, contract and exit terms, and a 100-point scorecard.
Why Does My Medical Practice A/R Keep Climbing? A 13-Question Diagnostic for Rising Accounts Receivable
Growth makes A/R bigger; poor performance makes A/R older. The three numbers to start with, 13 diagnostic questions, how to read the aging report, and a 30-day recovery-plus-prevention plan.
How Much Should Medical Billing Services Cost? Percentages, Minimums, Hidden Fees and the Effective Rate (2026)
What medical billing companies charge in 2026, why the advertised percentage is not the real rate, how to calculate an effective billing rate, and the five questions to ask every vendor.
Who Is Actually Doing Your Medical Billing? Subcontracted vs. In-House RCM, and 20 Questions to Ask
You hired a billing company — but who employs the people working your claims? How subcontracted RCM differs from in-house, what HIPAA says, and 20 questions to ask.
Timely Filing Limits by Payer: The Year-End A/R Sweep
The Medicare timely filing limit is one calendar year from the date of service. How to run a year-end A/R sweep sorted by deadline, not balance or age.
Dermatology Billing Services: Biopsies, Destructions and Modifier 59
What dermatology billing services must get right: biopsy codes by technique, destruction counts, excision sizing, modifier 59 or XS, and 88305 pathology.
Reading your Epic revenue-cycle reports: the six numbers a practice owner should know
Days in A/R, A/R over 90, denials, charge lag, clean-claim rate, net collection: what each means, where it lives in Epic and what to ask your billing team.
Leaving a health-system business office without leaving Epic
Leaving a health system but keeping Epic? What transfers, what does not (payer, EDI and EFT enrollments, workqueues), a 90-day checklist and orphaned A/R.