CCM Billing 99490: Time-Log Rules That Survive Audit (2026)
Master CCM billing in 2026 — 99490 vs 99491, the 20-min threshold, audit-proof time logs, and the TCM same-month trap. For IM practices.
Revenue Cycle Metrics That Actually Matter (and 3 to Ignore)
Practices track too many RCM metrics. Most of them don’t drive revenue. Here are the 6 metrics that actually matter, the 3 you can safely ignore, and the 30-day cadence we use at AMS Solutions to keep our clients in the 95%+ clean claim rate range. Why most practices track the wrong RCM metrics The […]
Family Practice Telehealth Billing 2026: After the Cliff
Telehealth’s COVID-era flexibilities are gone. In 2026, family practice telehealth billing is governed by a fragmented set of permanent rules plus state-by-state nuances plus payer-specific policies. Here’s how AMS Solutions bills telehealth cleanly in 2026 — without leaving revenue on the table or triggering audit risk. What changed vs PHE-era rules Three big shifts. (1) […]
Transitional Care Management Billing: The 14-Day Rule That Costs Practices Thousands (2026)
TCM billing in 2026: the 14-day rule, 99495 vs 99496, and the workflow fixes that recover thousands per practice. Built for internal medicine.
Neurology MIPS 2026: The 6 Quality Measures Worth Reporting
MIPS (Merit-Based Incentive Payment System) is the program that determines whether your neurology practice gets a Medicare payment bonus or penalty in 2028 (based on 2026 performance). At its best, 2026 reporting can earn up to 9% in positive payment adjustment. Here are the 6 Quality measures worth reporting for neurology — and how to […]
OB/GYN Modifier 22 (Increased Service): When + How to Use It
Modifier 22 (Increased Procedural Service) is one of the most under-used revenue tools in OB/GYN billing. Used correctly, it adds 20-50% to reimbursement on complicated procedures. Used incorrectly, it triggers automatic denials. Here’s when and how AMS Solutions uses it. What modifier 22 actually means Modifier 22 indicates the work required to provide a service […]
AR Management Medical Billing: Guide to Faster Pay
Improve AR management medical billing with practical workflows that reduce aging balances, prevent denials, and support steadier cash flow.
Cardiology Prior Auth Playbook: TAVR, MitraClip, Watchman (2026)
Structural-heart prior auths are the #1 cardiology billing headache in 2026. TAVR, MitraClip, and Watchman procedures generate $40K-$80K per case but get held up — sometimes for weeks — when prior auth documentation falls short. Here’s the payer-by-payer playbook our team uses to get approvals through in 48-72 hours. Why structural-heart prior auths are tougher […]
Clean Claim Rate Optimization: From 85% to 95%
If your practice’s clean claim rate is 85-90%, you’re average. If it’s 95%+, you’re at AMS Solutions client levels. The difference: $50K-$200K per year in avoided rework, faster payment, and lower A/R days. Here’s how to get there. Why clean claim rate matters more than collection rate Collection rate tells you how much of what […]
HIPAA Compliance Medical Billing: Practice Guide
Schedule a secure billing review. Learn HIPAA compliance medical billing requirements for PHI, BAAs, audits, vendor oversight, and outsourcing.
Family Practice CCM Billing: 99490 vs 99491 vs 99437 vs 99439
Chronic Care Management (CCM) is one of the highest-leverage revenue streams family practices can add. A 100-patient panel generates approximately $48K/year — but you must bill the right CPT code for the time tracked. Here’s the 2026 guide to choosing 99490, 99491, 99437, or 99439. What CCM is and why it matters CCM lets you […]
Medical Billing KPIs Every Practice Should Track
Schedule a consultation to improve medical billing KPIs, reduce denials, shorten days in AR, and strengthen your practice’s revenue cycle.