A Simple Guide to Optum Supervisory Billing for Behavioral Health Providers
Psychiatric and behavioral health clinics that employ interns, assistants, or therapists who are not yet fully licensed face a unique problem. How do they bill staff who are treating patients under the supervision of a licensed senior physician? To address this problem, Optum has created a Supervisory Billing Framework that sets out when, where, and […]
Florida Medicaid TCM Billing Guide 2026: Codes, Modifiers & Reimbursement
If you are running a case management agency, behavioral health practice, or Early Steps provider group in Florida, understanding Florida Medicaid TCM billing correctly is not just an option; it is essential. Without accurate billing, claims are denied, and payments are stopped. Targeted Case Management (TCM) is one of the most complex parts of Medicaid […]
How to Calculate the Lifetime Value of a Dental Patient
Most dental clinics know how much money they made from a patient’s last treatment, but they don’t know how much that same patient will bring to their clinic in the years to come. This long-term amount is called the lifetime value of a dental patient (LTV). Ultimately, it helps clinics make important decisions about marketing, […]
Aetna Claim Filing Deadline 2026: A Complete Guide
If you bill Aetna Insurance, missing the Aetna claim filing deadline is the easiest way to lose money that you could have easily collected. If you submit a late claim, it will usually be denied with a CO-29 code, and once that happens, it’s almost impossible to get that payment back. Fortunately, Aetna has not made […]
What is the Ambetter Claim Filing Deadline in 2026
Missing a claim deadline is one of the quickest ways a medical practice can lose money. Even a perfectly accurate, clean, and medically necessary claim can be denied if it’s even one day late, and once that happens, it’s usually impossible to get that money back. Understanding the 2026 Ambetter claim filing deadline is critical […]
A Guide to Home Health Billing and Coding for 2026
Home health agencies have a completely different billing and payment process than a typical doctor’s office. It’s not like a patient comes in once, you code them, and send them a bill. Instead, all the nursing, therapy, or helper services provided throughout the month are processed under a single claim, a single payment, and a […]
How to Get Credentialed with Medicaid: The Ultimate Guide
Medicaid is one of the largest public health insurance programs in the United States, covering more than 80 million Americans. That’s a large number of patients that no provider can afford to ignore. Whether you are a doctor starting a new clinic or a therapist looking to expand your patient base, understanding how to get […]
2026 Rates: Florida Medicaid Fee Schedule for Physical Therapy
If you run a physical therapy clinic in Florida and bill through Medicaid, there’s one document that quietly controls a huge portion of your revenue, and that’s the Florida Medicaid fee Schedule for physical therapy. While most doctors and therapists know that a list exists, few understand how to use it properly to increase their […]
How Technology Is Transforming Medical Credentialing in Healthcare
You are waiting for months to start a job just because someone is still using a fax to verify your degree. Sometimes it is so frustrating. Unfortunately, the traditional medical credentialing process has been going on for years. The reality is that patients wait for treatment, and doctors are stuck in office work. Fortunately, a shift […]
2026 Florida Medicaid Private Duty Nursing Fee Guide
The Florida Medicaid private duty nursing fee schedule 2026 has the biggest change in Private Duty Nursing (PDN) laws and funding in 10 years. With a $717 million in healthcare funding under the Live Healthy Legislative Package (SB 7016), reimbursement rates for nursing services have increased, helping HHAs attract top nursing staff. At the same […]