Research | Medical Billing and RCM Guides

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

October 22, 2026

How does FQHC PPS billing work with G0466 to G0470?

Medicare pays federally qualified health centers one bundled rate per visit, and G0466 to G0470 decide which rate. This page sets out the code selection rules, the 1.3416 adjustment, the charge test that quietly cancels it, and the claim mechanics behind every FQHC PPS payment.

Shivam Pujara, Founder

Laboratory Date of Service

October 22, 2026

What is the 14-day rule for lab date of service, and when does it change who bills?

The 14-day rule decides whether a laboratory test belongs to the hospital or to the lab. This page separates the three date of service exceptions, shows which one carries the 14-day clock, and sets out who bills in each case.

Shivam Pujara, Founder

Practice management software

October 22, 2026

Compare features of leading practice management systems with integrated billing.

A neutral comparison of 14 practice management systems with integrated billing, with published prices, billing features, certification status and a worked cost example.

Shivam Pujara, Founder

Neonatal Billing

October 22, 2026

How do the neonatal critical care per diem codes 99468 to 99472 work?

The neonatal and pediatric critical care per diems are global day codes with no time threshold, and almost every published page stops before the questions a NICU biller actually hits. This covers day 29, bundling, non-admission days and concurrent physicians.

Shivam Pujara, Founder

Psychotherapy CPT codes

October 22, 2026

Why is 90837 getting denied or downcoded, and when should you bill 90834 instead?

Why payers deny or downcode 90837, the 53 minute rule, what the note must show, and when 90834 is the right code, with 2026 Medicare rates and a worked example.

Shivam Pujara, Founder

Emergency Department Coding

October 22, 2026

How do the 2023 E/M rules change ED level selection for 99281 to 99285?

The 2023 rules moved ED level selection onto medical decision making alone and took time out entirely. This page sets out the three elements, the highest two of three rule, the 99284 to 99285 line, and what each level pays in 2026.

Shivam Pujara, Founder

Diabetes Education Billing

October 22, 2026

How is diabetes self-management training (G0108, G0109) billed and how often?

Medicare pays diabetes self-management training in half-hour units: 10 hours in a continuous 12-month period, then 2 hours in each calendar year after. This page sets out the unit split, the referral contents, what each code pays and the two clocks practices get wrong.

Shivam Pujara, Founder

Patient collections

October 22, 2026

What are the best practices for managing patient payment collections?

Best practices for patient payment collections, from financial policy and point-of-service scripts to payment plans, the rules that limit collections, a worked example and data from 410 billing reviews.

Shivam Pujara, Founder

Claim denials and appeals

October 22, 2026

What are common reasons for medical claim denials and how to appeal them?

The most common reasons medical claims are denied, what each denial code means, and how to appeal step by step, with Medicare deadlines, a worked example and data from 61,400 audited claims.

Shivam Pujara, Founder

Billing contracts

October 22, 2026

What questions should I ask a medical billing company before signing?

The questions to ask a medical billing company before signing, tied to the contract clauses that decide cost, denial ownership, data and exit.

Shivam Pujara, Founder

PRACTICAL GUIDES FOR PRACTICE OWNERS AND ADMINISTRATORS

Latest posts

How does FQHC PPS billing work with G0466 to G0470?

What is the 14-day rule for lab date of service, and when does it change who bills?

Compare features of leading practice management systems with integrated billing.

How do the neonatal critical care per diem codes 99468 to 99472 work?

Why is 90837 getting denied or downcoded, and when should you bill 90834 instead?

How do the 2023 E/M rules change ED level selection for 99281 to 99285?

How is diabetes self-management training (G0108, G0109) billed and how often?

What are the best practices for managing patient payment collections?

What are common reasons for medical claim denials and how to appeal them?

What questions should I ask a medical billing company before signing?