Resources
Medical Billing Resources
Specialty billing guides, denial management explainers, and revenue cycle resources for independent practices.
Published Guides
Private Practice Physicians Lose 120k on Average per Year
Physician salary surveys miss a brutal private-practice reality: a small billing leak can erase six figures before the owner ever sees it.
Adding a Provider to Your Private Practice: Billing Challenges That Slow Growth
A growth-stage billing guide for small private practices adding a provider or location, covering credentialing lag, payer enrollment updates, rendering-provider errors, AR timing, and cash-flow risk.
One Provider in Our Group Opted Out of Medicare - How Do We Bill?
A billing workflow guide for group practices where one physician or practitioner has opted out of Medicare but others still bill Medicare or commercial insurance.
Medicare Opt-Out for Private Practices: The Complete Guide
A practice-owner guide to Medicare opt-out, private contracts, 2-year cycles, mixed-provider groups, and the billing workflows that need to be controlled before a practice moves cash-pay.
Billing for Concierge, DPC, and Cash-Pay Practices: A Guide
A billing operations guide for private practices using concierge, direct primary care, or cash-pay models, covering membership fees, insurance workflows, hybrid complexity, superbills, Medicare considerations, and EHR configuration.
Cross-State Telehealth Licensing and How It Affects Your Billing
A billing guide for practices offering telehealth across state lines, covering licensing requirements, interstate compacts, payer rules, provider enrollment, and the billing problems that multi-state practice creates.
Can DPC Practices Still Bill Insurance for Labs and Imaging?
A billing guide for DPC practices that need to understand when and how insurance applies to labs, imaging, specialist referrals, and other services outside the membership agreement.
The Interstate Medical Licensure Compact, Explained for Billing
A billing guide for practices using the IMLC to practice across state lines, covering what the compact does and does not do for provider enrollment, payer credentialing, and multi-state claim submission.
Incident-To Billing for NPs and PAs, and Why It Causes Denials
A billing guide for practices using incident-to billing for nurse practitioners and physician assistants, covering Medicare's supervision requirements, common denial causes, and the operational controls that prevent problems.
Opted Out for Some Services but Not Others: The Mixed-Status Trap
A billing guide for practices that misunderstand Medicare opt-out as a per-service or per-patient choice, covering what CMS actually requires and how the billing workflow breaks when the distinction is unclear.
Mixing Concierge Membership Fees With Insurance Billing
A billing operations guide for practices that charge a membership fee and also bill insurance, covering how to keep the two revenue streams separate and what happens when the boundary is unclear.
The Opt-Out Affidavit and 2-Year Cycle: Deadlines That Trip People Up
A billing operations guide to the Medicare opt-out affidavit timeline, automatic renewal, cancellation windows, early termination, and the deadlines that cause problems for private practices.
What Opt-Out Does to Your Patients' Medigap and Supplemental Coverage
A billing guide for practices considering Medicare opt-out that need to understand how private contracts affect Medigap, Medicare Advantage, and supplemental coverage for their patients.
Superbills for Cash-Pay Patients: A Practice Owner's Guide
A practical guide for cash-pay, DPC, and out-of-network practices that generate superbills, covering what to include, what to get right, and the billing mistakes that create problems for patients and practices.
How to Evaluate a Medical Billing Company Before You Sign
A practical guide for private practice owners evaluating medical billing companies, covering the metrics that matter, pricing models, contract terms, red flags, and the questions most practices forget to ask.
Leaving a Hospital System for Private Practice: The Billing Transition
A billing-focused guide for physicians leaving hospital or health system employment to start or join a private practice, covering credentialing, payer enrollment, the revenue gap, and what the hospital used to handle that you now own.
Should You Outsource Medical Billing? A Guide for Private Practices
A practical guide for private practice owners weighing in-house billing against outsourced medical billing, covering costs, what a billing company handles, and how the transition works.