Research | Medical Billing and RCM Guides

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Practical content for practices that want to collect more of what they bill.

September 25, 2026

How do you decide between ALS and BLS level codes?

The ALS versus BLS decision is made from the run report, not the crew or the truck. Here is the two-door ALS1 rule, the codes, the documentation that holds up, and what each wrong level costs.

Shivam Pujara, Founder

Ambulance Billing

September 25, 2026

Can ambulance services bill for treat-no-transport calls?

Medicare will not pay for a response that ends without a transport, but a growing list of state Medicaid programs and some commercial plans will. Here is what to submit to each payer, and what the revenue is worth.

Shivam Pujara, Founder

Medical Billing Data

September 25, 2026

20 medical billing stats that baffle us

Twenty figures from our own claim audit and from primary sources, with the year and the denominator attached to every one. Includes the three most-quoted medical billing statistics that no published source supports.

Shivam Pujara, Founder

Collaborative care billing

September 25, 2026

How do you bill the Collaborative Care Model codes 99492 to 99494?

How to bill CoCM codes 99492, 99493, 99494 and G2214: the minute thresholds, 2026 Medicare rates, a worked caseload example and the setup mistakes behind most denials.

Shivam Pujara, Founder

Medicare for counselors

September 25, 2026

Can LMFTs and mental health counselors bill Medicare directly, and how?

LMFTs and mental health counselors have billed Medicare directly since January 2024. Here is who qualifies, how enrollment works, what they can bill and what 2026 pays.

Shivam Pujara, Founder

Substance use billing

September 25, 2026

How do you bill ASAM levels of care for substance use treatment?

How to bill each ASAM level of care, from residential per diems to IOP billing codes, with state crosswalks, a worked 42-day example and the denials we see most.

Shivam Pujara, Founder

Drug testing codes

September 25, 2026

How should urine drug testing be billed (80305 vs G0480 to G0483)?

How to bill urine drug testing: presumptive codes 80305 to 80307 by method, definitive codes G0480 to G0483 by drug class count, with 2026 Medicare rates and LCD limits.

Shivam Pujara, Founder

Dental sleep medicine billing

September 25, 2026

How do dentists bill medical insurance for oral appliances for sleep apnea?

How dentists bill oral appliances for sleep apnea to Medicare and commercial medical plans with E0486, from the physician order to the claim and denials.

Shivam Pujara, Founder

Provider credentialing

September 25, 2026

How long does insurance credentialing take?

Credentialing takes 90 to 150 days for most new providers. Here is how long Medicare, Medicaid and commercial payers take, which state laws cap the wait, and what a delay costs.

Shivam Pujara, Founder

Offshore billing compliance

September 25, 2026

Is it HIPAA compliant to use an offshore medical billing team?

HIPAA allows offshore medical billing teams, but the subcontractor chain, Medicaid payment rules, Medicare Advantage attestations and Florida and Texas storage laws decide whether your setup is compliant.

Shivam Pujara, Founder

PRACTICAL GUIDES FOR PRACTICE OWNERS AND ADMINISTRATORS

Latest posts

How do you decide between ALS and BLS level codes?

Can ambulance services bill for treat-no-transport calls?

20 medical billing stats that baffle us

How do you bill the Collaborative Care Model codes 99492 to 99494?

Can LMFTs and mental health counselors bill Medicare directly, and how?

How do you bill ASAM levels of care for substance use treatment?

How should urine drug testing be billed (80305 vs G0480 to G0483)?

How do dentists bill medical insurance for oral appliances for sleep apnea?

How long does insurance credentialing take?

Is it HIPAA compliant to use an offshore medical billing team?