When & How to Bill Secondary Insurance Billing for ABA Services
Secondary Insurance Billing for ABA Services is a critical process for ABA providers who work with multiple payers and complex reimbursement structures. Many ABA providers either bill it incorrectly or avoid it entirely, resulting in lost revenue, claim denials, and compliance risk. Secondary insurance billing is not optional when a patient has dual coverage it […]
Couples Therapy CPT Codes and Billing Best Practices
Couples Therapy CPT Codes are frequently misunderstood, misused, and misbilled in mental health practices. The result is predictable: claim denials, delayed payments, payer audits, and frustrated providers. Couples therapy billing is not the same as individual psychotherapy billing, and assuming otherwise is a costly mistake. This guide explains which CPT codes apply to couples therapy, […]
CMS Credentialing Requirements for Providers
CMS Credentialing Requirements for Providers define how healthcare professionals and organizations must enroll with Medicare and Medicaid to receive reimbursement. If a healthcare provider is not properly credentialed with the Centers for Medicare & Medicaid Services (CMS), claims will be denied, payments will be delayed, and compliance risk will increase. Many providers underestimate credentialing until […]
How to Calculate AR Days in Medical Billing | NAHL
AR Days in Medical Billing measure how long it takes to collect payments from patients and insurers, making it a critical metric for cash flow and revenue cycle management. Accounts Receivable (AR) Days is one of the most critical metrics in medical billing. It tells you how long it takes for a healthcare provider to […]
Revenue Code 0119 for Private Room Billing | NAHL
Revenue Code 0119 is used in hospital billing to report private room and ward accommodations that do not fall under standard semi-private room classifications. Misuse of this code is a common reason for denials, underpayments, and audits, especially in inpatient claims. If you don’t understand when and how to apply Revenue Code 0119 correctly, you […]
Patient Services Billing: Maximize Collections | NAHL
Patient services billing has become one of the most critical and most broken revenue streams in healthcare. As insurance reimbursements shrink and patient responsibility increases, providers who fail to optimize patient billing workflows experience cash flow problems, rising AR, and higher write-offs. Maximizing collections is not about chasing patients harder. It’s about billing accuracy, transparency, […]
Wound Care Reimbursement Guide: What Medicare Pays | NAHL
Wound care reimbursement under Medicare depends on strict medical necessity rules, correct coding, and complete documentation. Many providers assume Medicare automatically pays for wound care services, but reimbursement varies based on wound type, treatment method, site of service, and compliance with Medicare guidelines. This guide explains what Medicare pays for wound care, what it does […]
How to Use Revenue Code 0119 for Private Room Billing | NAHL
Private room billing is one of the most misunderstood areas of hospital revenue management. Many hospitals assume that if a patient stays in a private room, it can automatically be billed separately. That assumption is wrong and it leads to denials, patient complaints, and compliance risk.Revenue Code 0119 exists specifically to report private room charges, […]
What Is Revenue Code 0250 in Hospital Pharmacy Billing? | NAHL
Hospital pharmacy billing mein revenue codes ka sahi use directly reimbursement aur compliance ko impact karta hai. Revenue Code 0250 ek commonly used pharmacy revenue code hai, lekin isko galat context mein use karna hospitals ke liye underpayment, denials, aur audit risk create karta hai. Bohat si facilities is code ko “safe” samajh kar use […]
Revenue Code 0636 Explained: Rules, Rates, and Reimbursement | NAHL
Billing injectable and infused drugs incorrectly is one of the fastest ways to trigger claim denials. Revenue Code 0636 is commonly used for pharmacy-related drugs, but it is also one of the most misunderstood and misused revenue codes in medical billing. When billed incorrectly, it leads to underpayment, rejections, or compliance risks especially with Medicare […]