Why Hybrid Billing Models Are Becoming the New Standard For years, healthcare billing has been treated as an operational necessity—something that needs to function, but not something that deserves strategic attention. As long as claims went out and money eventually came in, billing was considered “handled.” That approach is starting to break down. Rising denial […]
(And Why Most Organizations Don’t Have One) Healthcare organizations don’t struggle because they deliver poor care. They struggle because their financial infrastructure was never designed for the reimbursement reality they now operate in. Payer complexity. Delayed collections. Rising labor costs. Thinner margins. Most organizations are running modern healthcare operations on financial systems that were never
Onshore vs. Offshore — and the Real Story Behind the Numbers Have you had a bad experience with offshore medical billing? You’re not alone. For many providers, outsourcing their revenue cycle has felt like gambling with collections, compliance, and communication. But in most cases, the issue isn’t outsourcing itself. It’s the model, oversight, and execution
Discover how outsourced medical billing helps medical practices cut costs, reduce errors, ensure compliance, and boost revenue—while freeing staff to focus on patient care. Running a small medical practice comes with unique challenges—balancing patient care while drowning in paperwork, insurance claims, and ever-changing billing regulations. Outsourced medical billing has become a strategic solution for physicians
CMS has begun paying most Medicare claims with dates of service (DOS) in October 2025, but there are exceptions. On October 21, 2025, CMS instructed Medicare Administrative Contractors (MACs) to lift the claims hold and process claims with DOS of October 1, 2025 and later for services under the Medicare Physician Fee Schedule, ground ambulance
Not long ago, the idea of checking a patient’s vitals from miles away seemed futuristic. But as healthcare faced the dual pressures of rising chronic disease and aging populations, Remote Patient Monitoring (RPM) emerged as a powerful solution—turning home devices into daily health checkpoints and transforming how we think about outpatient care. Today, RPM is
During the past two years there has been a lot of conversation about remote patient monitoring. Implementing remote patient monitoring (RPM) in a medical practice can bring many benefits, such as improved patient outcomes and cost savings. However, it’s important to approach the implementation process thoughtfully and with a plan in place. Here are some
We’ve heard a lot about RPM and the ability to gain significant revenue just by implementing the program in your healthcare organization. In this two-part series we’ll talk about the financial benefits, as well as things to keep in mind in order to effectively implement an RPM program. The financial benefits of implementing remote patient
We get this question many times. What is HCC coding and why is it important? I wanted to take some time to give some background to this question. Hierarchical Condition Categories (HCC) coding is a system used by Medicare Advantage plans to classify and reimburse healthcare providers for the care of patients with chronic conditions.
Everything you need to know about billing Medicare for COVID-19 Vaccines, and certain Monoclonal Antibodies can be found from the link below: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies CMS has created a provider toolkit to provide further guidance and can be found from the link below: https://www.cms.gov/covidvax-provider
Join thousands of physicians, billers, and
office managers getting the best healthcare
content right in their inbox
We’ll never share your email address and you can
opt out at any time, we promise.
Schedule A Free Consultation
Form will open in a popup, please enable popups for this site.
Still not working? Click HERE.
📞 Phone: 240-334-7778 | ✉️ Email: info@aiemedicalmanagement.com
Centers for Medicare, Medicaid Services, Centers for Medicare and Medicaid Services, and Kareo Billing Partner are registered trademarks and property of their respective owners.