HMS Medical Billing Blogs

For Medicare-participating clinics, 2025 brings more than regulatory pressure—it brings a chance to turn reporting i...

Home health agencies in the U.S. face a significant challenge with denied claims, especially under Medicare. A denied clai...

Independent Physician Associations (IPAs) offer a compelling alternative to healthcare consolidation. Often misunderstood,...

Have you ever had a patient ask, “Can I just pay you directly?” Or wondered about the rules when someone with ...

Accuracy in medical billing is more than a best practice — it is a regulatory requirement enforced by federal progra...

The National Correct Coding Initiative (NCCI) represents one of Medicare's most sophisticated claim review mechanisms,...

The CLIA of 1988 established a federal framework regulating laboratory testing on human specimens for health purposes. For...

The Qualified Medicare Beneficiary (QMB) program is a critical financial support mechanism designed to assist low-income i...

Most healthcare providers recognize that delivering quality care is essential to driving practice success. Yet many overlo...

The Centers for Medicare & Medicaid Services (CMS) has released its final payment rates for Medicare Advantage (MA) an...

In the complex world of medical billing, time-based coding remains one of the most misunderstood—and consequently, o...

For newly graduated physicians or those transitioning to new practices, the credentialing process presents a significant c...

In facility-based healthcare billing, the UB-04 form stands as one of the most important documents in the revenue cycle. I...

Medical billing is a complex yet essential aspect of the healthcare industry, ensuring that healthcare providers receive a...

Many providers assume that being out-of-network automatically means fewer patients, unpredictable reimbursements, and cons...