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540 pages, grouped. This exists for people, and it also means no page on this site is more than two clicks from the homepage, which is the difference between a page that gets crawled and a page that does not.
Main · 16
Services · 22
- AR Calling & Denial Management — $1,700 per seat per month
- Prior Authorization — $1,900 per seat per month
- Eligibility & Benefits Verification — $1,700 per seat per month
- Medical Coding — $2,500 per seat per month
- Credentialing & Enrollment — $2,200 per seat per month
- Certified Payroll Processing — $1,600 per seat per month
- Payment Posting — $1,500 per seat per month
- Charge Entry & Claim Submission — $1,500 per seat per month
- Patient Billing & Statements — $1,600 per seat per month
- Medical Records & Release of Information — $1,500 per seat per month
- Chronic Care Management & Remote Monitoring Support — $1,700 per seat per month
- Underpayment Recovery & Contract Variance — $1,900 per seat per month
- Referral Intake & Coordination — $1,600 per seat per month
- Scheduling, Recall & No-Show Recovery — $1,500 per seat per month
- Risk Adjustment & Quality Measure Support — $2,300 per seat per month
- Workers' Compensation & Personal Injury Billing — $1,900 per seat per month
- DME & Orthotics Billing — $1,800 per seat per month
- Clinical Research Site Support — $2,100 per seat per month
- Provider Enrollment & Revalidation Calendar — $2,000 per seat per month
- Behavioral Health & ABA Billing — $1,800 per seat per month
- Dental Billing & Insurance Coordination — $1,600 per seat per month
- Hospital Patient Access & Pre-Registration — $1,700 per seat per month
Specialties · 48
- All specialties
- Pain Management billing and AR
- Anesthesia billing and AR
- Orthopedics billing and AR
- Ambulatory Surgery Centers billing and AR
- Behavioral Health billing and AR
- Cardiology billing and AR
- Gastroenterology billing and AR
- Dermatology billing and AR
- Urology billing and AR
- Podiatry billing and AR
- Physical Therapy billing and AR
- Radiology billing and AR
- Ophthalmology billing and AR
- Otolaryngology billing and AR
- Neurology billing and AR
- Obstetrics & Gynecology billing and AR
- Urgent Care billing and AR
- Primary Care billing and AR
- Nephrology billing and AR
- Rheumatology billing and AR
- Oncology billing and AR
- Wound Care billing and AR
- Sleep Medicine billing and AR
- Chiropractic billing and AR
- Pediatrics billing and AR
- Clinical Laboratory and Pathology billing and AR
- DME and Orthotic Supplies billing and AR
- Allergy and Clinical Immunology billing and AR
- Hospitalist Medicine billing and AR
- Plastic and Reconstructive Surgery billing and AR
- FQHC Community Health Centers billing and AR
- Rural Health Clinics billing and AR
- Geriatric Medicine billing and AR
- Infectious Disease billing and AR
- Pulmonology and Critical Care billing and AR
- Endocrinology and Diabetes billing and AR
- Vascular Surgery billing and AR
- Occupational Medicine billing and AR
- Home Health and Hospice billing and AR
- Substance Use Treatment billing and AR
- Cardiothoracic Surgery billing and AR
- General Surgery billing and AR
- Emergency Medicine Groups billing and AR
- Integrative and Functional Medicine billing and AR
- Internal Medicine billing and AR
- Family Practice billing and AR
- Dental Cross-Coding billing and AR
Certified payroll · 7
Denial codes · 89
- Free tools for medical billing teams
- Denial appeal letter generator
- Prior authorization decision deadline calculator
- What your denials cost: a calculator
- Days in AR and net collection rate calculator
- Good Faith Estimate template generator
- Free denial code lookup
- Remark code lookup and remittance line decoder
- Timely filing limits by payer, with a deadline calculator
- CPT and HCPCS modifier lookup
- Place of service codes, the full CMS set
- Denial code guides
- CO-197 — Prior authorization absent
- CO-16 — Claim lacks information or has a submission error
- CO-29 — Time limit for filing has expired
- CO-50 — Not deemed medically necessary
- CO-45 — Charge exceeds the fee schedule
- CO-97 — Included in the payment for another service
- CO-18 — Exact duplicate claim or service
- CO-22 — May be covered by another payer
- CO-27 — Expenses incurred after coverage terminated
- CO-151 — Information does not support this many services
- CO-109 — Not covered by this payer or contractor
- CO-B7 — Provider not certified or eligible on this date
- CO-4 — Procedure code inconsistent with the modifier
- CO-11 — Diagnosis inconsistent with the procedure
- CO-96 — Non-covered charges
- CO-119 — Benefit maximum reached
- CO-140 — Patient identification number and name do not match
- CO-170 — Payment denied for this provider type
- CO-234 — Procedure not paid separately
- CO-252 — Additional documentation required
- CO-198 — Prior authorization exceeded
- CO-288 — Referral absent
- PR-204 — Not covered under the patient’s current plan
- OA-23 — Prior payer’s adjudication
- CO-185 — Rendering provider not eligible
- CO-8 — Procedure inconsistent with provider type
- CO-236 — Procedure/modifier combination not compatible
- CO-231 — Mutually exclusive procedures
- CO-107 — Related or qualifying claim not identified
- PR-31 — Patient cannot be identified as our insured
- CO-286 — Appeal time limits not met
- PR-1 — Deductible amount
- CO-5 — Procedure inconsistent with place of service
- CO-9 — Diagnosis inconsistent with patient age
- CO-10 — Diagnosis inconsistent with patient gender
- CO-15 — Authorization number missing or invalid
- CO-24 — Charges covered under a capitation agreement
- CO-32 — Patient is not an eligible dependent
- CO-33 — Insured has no dependent coverage
- CO-35 — Lifetime benefit maximum reached
- CO-39 — Services denied at the time authorization was requested
- CO-136 — Failure to follow the prior payer’s coverage rules
- CO-150 — Information does not support this level of service
- CO-167 — Diagnosis is not covered
- CO-177 — Patient has not met eligibility requirements
- CO-181 — Procedure code invalid on the date of service
- CO-182 — Procedure modifier invalid on the date of service
- CO-183 — Referring provider not eligible to refer
- CO-184 — Ordering provider not eligible to order or prescribe
- CO-226 — Requested information from the provider not supplied
- CO-227 — Requested information from the patient not supplied
- CO-242 — Services not provided by network providers
- CO-251 — Attachment or documentation incomplete or deficient
- CO-253 — Sequestration reduction in federal payment
- CO-256 — Service not payable under the managed care contract
- CO-272 — Coverage or program guidelines not met
- CO-B10 — Allowed amount reduced — a component of the procedure was already paid
- CO-273 — Coverage or program guidelines exceeded
- N130 — Consult plan benefit documents for restrictions
- N382 — Missing, incomplete or invalid patient identifier
- MA130 — Claim unprocessable — no appeal rights
- N29 — Missing documentation, orders, notes or report
- N30 — Patient ineligible for this service
- N34 — Incorrect claim form or format for this service
- N54 — Claim inconsistent with the authorized services
- N115 — Decision based on a Local Coverage Determination
- N122 — Add-on code cannot be billed by itself
- N362 — Units of service exceed the payer’s maximum
- N381 — Adjusted per the contract — read the contract
- N522 — Duplicate of a crossover claim
- MA30 — Missing, incomplete or invalid type of bill
- N830 — Processed under surprise-billing rules — the patient cannot be balance billed
- M115 — Denied — not a contract supplier for this item
- MA27 — Missing, incomplete or invalid Medicare number or name
- M51 — Missing, incomplete or invalid procedure code
- N4 — Missing or invalid primary payer explanation of benefits
- N290 — Missing, incomplete or invalid rendering provider identifier
By state · 201
- All states
- Medical Billing in California
- Medical Billing in Texas
- Medical Billing in Florida
- Medical Billing in New York
- Medical Billing in Washington
- Medical Billing in Illinois
- Medical Billing in New Jersey
- Medical Billing in Pennsylvania
- Medical Billing in Ohio
- Medical Billing in Georgia
- Medical Billing in Alabama
- Medical Billing in Alaska
- Medical Billing in Arizona
- Medical Billing in Arkansas
- Medical Billing in Colorado
- Medical Billing in Connecticut
- Medical Billing in Delaware
- Medical Billing in Hawaii
- Medical Billing in Idaho
- Medical Billing in Indiana
- Medical Billing in Iowa
- Medical Billing in Kansas
- Medical Billing in Kentucky
- Medical Billing in Louisiana
- Medical Billing in Maine
- Medical Billing in Maryland
- Medical Billing in Massachusetts
- Medical Billing in Michigan
- Medical Billing in Minnesota
- Medical Billing in Mississippi
- Medical Billing in Missouri
- Medical Billing in Montana
- Medical Billing in Nebraska
- Medical Billing in Nevada
- Medical Billing in New Hampshire
- Medical Billing in New Mexico
- Medical Billing in North Carolina
- Medical Billing in North Dakota
- Medical Billing in Oklahoma
- Medical Billing in Oregon
- Medical Billing in Rhode Island
- Medical Billing in South Carolina
- Medical Billing in South Dakota
- Medical Billing in Tennessee
- Medical Billing in Utah
- Medical Billing in Vermont
- Medical Billing in Virginia
- Medical Billing in West Virginia
- Medical Billing in Wisconsin
- Medical Billing in Wyoming
- Prior Authorization in California
- Prior Authorization in Texas
- Prior Authorization in Florida
- Prior Authorization in New York
- Prior Authorization in Washington
- Prior Authorization in Illinois
- Prior Authorization in New Jersey
- Prior Authorization in Pennsylvania
- Prior Authorization in Ohio
- Prior Authorization in Georgia
- Prior Authorization in Alabama
- Prior Authorization in Alaska
- Prior Authorization in Arizona
- Prior Authorization in Arkansas
- Prior Authorization in Colorado
- Prior Authorization in Connecticut
- Prior Authorization in Delaware
- Prior Authorization in Hawaii
- Prior Authorization in Idaho
- Prior Authorization in Indiana
- Prior Authorization in Iowa
- Prior Authorization in Kansas
- Prior Authorization in Kentucky
- Prior Authorization in Louisiana
- Prior Authorization in Maine
- Prior Authorization in Maryland
- Prior Authorization in Massachusetts
- Prior Authorization in Michigan
- Prior Authorization in Minnesota
- Prior Authorization in Mississippi
- Prior Authorization in Missouri
- Prior Authorization in Montana
- Prior Authorization in Nebraska
- Prior Authorization in Nevada
- Prior Authorization in New Hampshire
- Prior Authorization in New Mexico
- Prior Authorization in North Carolina
- Prior Authorization in North Dakota
- Prior Authorization in Oklahoma
- Prior Authorization in Oregon
- Prior Authorization in Rhode Island
- Prior Authorization in South Carolina
- Prior Authorization in South Dakota
- Prior Authorization in Tennessee
- Prior Authorization in Utah
- Prior Authorization in Vermont
- Prior Authorization in Virginia
- Prior Authorization in West Virginia
- Prior Authorization in Wisconsin
- Prior Authorization in Wyoming
- Credentialing in California
- Credentialing in Texas
- Credentialing in Florida
- Credentialing in New York
- Credentialing in Washington
- Credentialing in Illinois
- Credentialing in New Jersey
- Credentialing in Pennsylvania
- Credentialing in Ohio
- Credentialing in Georgia
- Credentialing in Alabama
- Credentialing in Alaska
- Credentialing in Arizona
- Credentialing in Arkansas
- Credentialing in Colorado
- Credentialing in Connecticut
- Credentialing in Delaware
- Credentialing in Hawaii
- Credentialing in Idaho
- Credentialing in Indiana
- Credentialing in Iowa
- Credentialing in Kansas
- Credentialing in Kentucky
- Credentialing in Louisiana
- Credentialing in Maine
- Credentialing in Maryland
- Credentialing in Massachusetts
- Credentialing in Michigan
- Credentialing in Minnesota
- Credentialing in Mississippi
- Credentialing in Missouri
- Credentialing in Montana
- Credentialing in Nebraska
- Credentialing in Nevada
- Credentialing in New Hampshire
- Credentialing in New Mexico
- Credentialing in North Carolina
- Credentialing in North Dakota
- Credentialing in Oklahoma
- Credentialing in Oregon
- Credentialing in Rhode Island
- Credentialing in South Carolina
- Credentialing in South Dakota
- Credentialing in Tennessee
- Credentialing in Utah
- Credentialing in Vermont
- Credentialing in Virginia
- Credentialing in West Virginia
- Credentialing in Wisconsin
- Credentialing in Wyoming
- Certified Payroll in California
- Certified Payroll in Texas
- Certified Payroll in Florida
- Certified Payroll in New York
- Certified Payroll in Washington
- Certified Payroll in Illinois
- Certified Payroll in New Jersey
- Certified Payroll in Pennsylvania
- Certified Payroll in Ohio
- Certified Payroll in Georgia
- Certified Payroll in Alabama
- Certified Payroll in Alaska
- Certified Payroll in Arizona
- Certified Payroll in Arkansas
- Certified Payroll in Colorado
- Certified Payroll in Connecticut
- Certified Payroll in Delaware
- Certified Payroll in Hawaii
- Certified Payroll in Idaho
- Certified Payroll in Indiana
- Certified Payroll in Iowa
- Certified Payroll in Kansas
- Certified Payroll in Kentucky
- Certified Payroll in Louisiana
- Certified Payroll in Maine
- Certified Payroll in Maryland
- Certified Payroll in Massachusetts
- Certified Payroll in Michigan
- Certified Payroll in Minnesota
- Certified Payroll in Mississippi
- Certified Payroll in Missouri
- Certified Payroll in Montana
- Certified Payroll in Nebraska
- Certified Payroll in Nevada
- Certified Payroll in New Hampshire
- Certified Payroll in New Mexico
- Certified Payroll in North Carolina
- Certified Payroll in North Dakota
- Certified Payroll in Oklahoma
- Certified Payroll in Oregon
- Certified Payroll in Rhode Island
- Certified Payroll in South Carolina
- Certified Payroll in South Dakota
- Certified Payroll in Tennessee
- Certified Payroll in Utah
- Certified Payroll in Vermont
- Certified Payroll in Virginia
- Certified Payroll in West Virginia
- Certified Payroll in Wisconsin
- Certified Payroll in Wyoming
Reference · 17
- Medicare revalidation due date lookup
- Cost calculator
- In-house, percentage vendor, or a seat
- Soft Home Global vs Ataraxis
- Soft Home Global vs MedVirtual
- Soft Home Global vs MCVO Talent
- Search
- Editorial policy
- Systems we work in
- Resources
- Prompt pay laws by state
- Medicaid managed care by state
- RCM glossary
- All pages
- Photo credits
- Privacy
- Terms
Opening a practice · 7
- Opening a US practice
- Can you bill Medicare before your enrollment is approved?
- The Medicare application fee is $750 — and most physicians do not owe it
- CMS-855I or CMS-855B — and why the 855R no longer exists
- NPI Type 1 vs Type 2 — which does your practice need?
- Missed your Medicare revalidation? What deactivation actually costs
- CAQH re-attestation is every 120 days — and the reminder schedule is not what vendors say
Free tools · 5
Answers · 14
- Answers
- Eligibility and coverage denials — questions and answers
- Coding and documentation denials — questions and answers
- AR and appeals denials — questions and answers
- Enrollment and credentialing denials — questions and answers
- Prior authorization denials — questions and answers
- Charge entry, posting and patient balance denials — questions and answers
- Specialty billing — questions and answers
- Practice management and EHR systems — questions and answers
- Prompt pay deadlines — questions and answers
- By state — questions and answers
- Services and pricing — questions and answers
- About Soft Home Global — questions and answers
- Terms defined — questions and answers
Systems · 42
- eClinicalWorks billing and AR support
- Epic billing and AR support
- athenahealth billing and AR support
- Tebra billing and AR support
- AdvancedMD billing and AR support
- NextGen Healthcare billing and AR support
- Oracle Health billing and AR support
- Veradigm billing and AR support
- Greenway Health billing and AR support
- ModMed billing and AR support
- DrChrono billing and AR support
- CureMD billing and AR support
- CareCloud billing and AR support
- Practice Fusion billing and AR support
- Office Ally billing and AR support
- Availity billing and AR support
- Waystar billing and AR support
- Optum billing and AR support
- SimplePractice billing and AR support
- TherapyNotes billing and AR support
- TheraNest billing and AR support
- Qualifacts billing and AR support
- WebPT billing and AR support
- ChiroTouch billing and AR support
- Compulink Healthcare Solutions billing and AR support
- PrognoCIS billing and AR support
- Praxis EMR billing and AR support
- Medisoft billing and AR support
- CharmHealth billing and AR support
- NueMD billing and AR support
- Amazing Charts billing and AR support
- Azalea Health billing and AR support
- CollaborateMD billing and AR support
- Aprima billing and AR support
- MicroMD billing and AR support
- Experian Health billing and AR support
- LCPtracker billing and AR support
- California DIR eCPR billing and AR support
- Washington L&I billing and AR support
- New Jersey Wage Hub billing and AR support
- eMars billing and AR support
- B2Gnow billing and AR support
Insights · 72
- Insights
- Why claims sit at 90 days, and what actually moves them
- The prior authorization checklist that prevents CO-197
- The five reasons certified payroll comes back rejected
- Twelve questions to ask any offshore billing vendor
- The eligibility checks that pay for themselves
- Days in AR: what good actually looks like
- What a missed revalidation actually costs
- Fringe benefits on certified payroll, explained properly
- What to actually ask about offshore data security
- Volume is the same but the deposit is smaller. Where did it go?
- How much should medical billing cost? The published numbers
- Why insurers deny claims, and which denials are worth fighting
- In-house biller or outsourced? An honest decision framework
- Switching billing companies without losing a month of revenue
- Days in AR: what the number hides and how to move it
- Seven signs your billing company is underperforming
- What breaks at two, five and ten providers
- How to overturn a timely filing denial
- What a good clean claim rate actually is
- Why prior authorizations get delayed, and how to stop it
- Form WH-347, box by box
- Seven things that trigger a certified payroll audit
- How to read an 835 remittance without missing money
- How long payer enrollment actually takes
- The 8-minute rule, and the units it costs you
- Modifier 26 and TC: who bills which half
- How to write an appeal letter that actually gets a claim reopened
- How long can a payer take to decide a prior authorization?
- What a denied claim actually costs to work, and what it costs to ignore
- What must be on a Good Faith Estimate, and when it has to be issued
- Days in AR: how to calculate it, and the number it hides
- How eligibility verification actually works
- How prior authorization works, start to finish
- How denial management works, and what it costs to skip
- How payment posting works, and where money hides
- How charge entry and claim submission work
- How medical coding works in a practice
- How provider credentialing works, and what stalls it
- How patient billing and statements work
- How scheduling, recall and no-show recovery work
- How referral intake and coordination work
- What a virtual medical assistant actually does
- How hospital patient access and pre-registration work
- How release of information works, and the 30-day clock
- How to find payer underpayments nobody is looking for
- How workers’ compensation billing differs from commercial
- How behavioural health and ABA billing work
- How DME billing works, and why documentation decides it
- How dental billing and medical cross-coding work
- How chronic care management and RPM billing work
- How certified payroll filing works, week by week
- Back-office support — 20 articles
- Medical Billing — 12 articles
- Operations — 11 articles
- Denials — 10 articles
- Revenue cycle — 10 articles
- Revenue Cycle Management — 10 articles
- Accounts receivable — 9 articles
- Front office — 7 articles
- Documentation — 6 articles
- Prior authorization — 6 articles
- Certified payroll — 5 articles
- Practice Operations — 5 articles
- Compliance — 4 articles
- Eligibility — 4 articles
- Specialty billing — 4 articles
- Credentialing — 3 articles
- Patient Experience — 3 articles
- Scheduling — 3 articles
- Payment posting — 2 articles
- Reporting — 2 articles