Get expert answers to top medical billing and credentialing questions for 2025. Learn denial management, AI billing trends, and credentialing timelines from healthcare revenue cycle specialists. Healthcare providers face increasingly complex billing and credentialing challenges in 2025. From evolving insurance requirements to new AI-powered denial patterns, staying current with medical
Healthcare providers today face an increasingly complex landscape of medical billing, insurance credentialing, and revenue cycle management. With evolving regulations, new technology, and shifting payer requirements, many providers find themselves struggling with claim denials, delayed payments, and credentialing challenges. At Malakos Healthcare Solutions, we’ve compiled the most frequently asked questions
For healthcare providers across the United States, few processes are as critical—or as frustrating—as provider credentialing. Whether you’re a physician opening your first practice, a nurse practitioner joining a new group, or a therapist expanding your patient base, credentialing with insurance companies is your gateway to getting paid for the
Navigate 2025 physical therapy billing changes, updated CPT codes, Medicare thresholds, and common denial solutions with expert PT billing guidance. Physical therapy providers face a complex billing landscape in 2025, with significant updates to reimbursement rates, compliance requirements, and coding standards that directly impact practice revenue. Whether you’re a clinic
Discover critical 2025 behavioral health billing changes, new CPT codes, payer policy updates, and telehealth compliance requirements for mental health providers. The behavioral health landscape is evolving rapidly, and 2025 brings significant changes that will impact how you bill for mental health services. Whether you’re a solo practitioner, group practice
Key CPT Code Changes: Behavioral health CPT codes have been refined for 2025. Documentation of session times is more granular – e.g., 90837 (53+ min psychotherapy) now has clearer criteria for when to use add-on codes for extra time, and providers are urged to note exact start/end times to capture
Introduction: Behavioral health billing is evolving rapidly in 2025, with new codes, policies, and technologies reshaping how providers get paid humanmedicalbilling.com. The demand for mental health and substance use treatment has surged in recent years, especially after the pandemic, and insurance rules are racing to keep up. As a result,
Published on April 26, 2025 Malakos Healthcare Solutions has officially partnered with AdvancedMD to deliver next-gen medical billing powered by AI automation. This move is set to enhance collections, reduce denials, and provide doctors with smarter, faster RCM solutions. Read Full Article
Picture this: You’ve just finished treating a patient who walked out pain-free after weeks of chronic back issues. You’ve documented everything perfectly, submitted the claim, and then… silence. Three weeks later, you get a denial for “medical necessity not established.” Sound familiar? If you’re running a chiropractic practice in 2025,
Picture this: It’s Friday afternoon, and you’re reviewing your practice’s accounts receivable. That $15,000 claim you submitted three weeks ago is still sitting in limbo. Your staff spent hours on patient care, your overhead costs are mounting, and now you’re waiting on payments that should have arrived weeks ago. Sound
If you’re a doctor or practice manager feeling overwhelmed by medical billing complexities, you’re not alone. With evolving regulations, insurance changes, and new coding requirements in 2025, even experienced healthcare professionals find themselves asking the same questions about billing processes. The good news? Most billing confusion stems from a handful
The healthcare billing landscape is transforming at breakneck speed in 2025. From sweeping CPT updates to AI-powered denial management systems, medical practices that don’t adapt risk losing significant revenue and falling behind on compliance requirements. For doctors and practice managers, staying current with medical billing trends 2025 isn’t just about
A clean medical claim is the cornerstone of efficient revenue cycle management. Yet even in 2025, healthcare providers continue to lose thousands of dollars monthly to preventable claim rejections and denials. Understanding what constitutes a clean claim—and the common pitfalls that derail it—can dramatically improve your practice’s financial performance and
Medical billing errors cost U.S. healthcare practices billions annually, with CPT coding mistakes being the leading cause of claim denials. As a practicing physician, understanding current CPT guidelines and avoiding common coding pitfalls is crucial for maintaining revenue cycle efficiency and Medicare compliance in 2025. Most Common CPT Coding Questions
In today’s complex healthcare landscape, small medical practices face unique challenges when it comes to revenue cycle management. Billing errors can significantly impact your bottom line, causing cash flow problems and unnecessary stress. According to recent studies, medical practices lose an average of 3-5% of their annual revenue due to
Discover how outsourced medical billing services can help your small clinic overcome reimbursement challenges, reduce denials, and increase revenue while remaining HIPAA compliant. The Hidden Cost of Billing Inefficiencies in Your Practice If you’re like most healthcare providers, you didn’t spend years in medical school to become an expert in
In today’s complex healthcare landscape, orthopedic practices face significant challenges in securing proper reimbursement for their services. Medical billing specialists understand that orthopedic claim denials represent a substantial threat to revenue cycle management and practice profitability. With denial rates in orthopedics averaging 15-20% higher than many other specialties, implementing effective
Discover how outsourcing mental health billing can transform your practice in 2025, reducing denied claims by 40% while ensuring HIPAA compliance and boosting your revenue cycle. The New Reality of Mental Health Billing in 2025 Let’s face it, bro—mental health billing has never been a walk in the park, but
Physical therapy practices face unique challenges in today’s healthcare environment. Between complex documentation requirements, evolving reimbursement models, and increasing administrative burdens, managing the financial aspects of a PT practice can be as demanding as providing quality patient care. This article explores effective strategies for optimizing your physical therapy billing processes
In today’s complex healthcare landscape, chiropractors face unique challenges when it comes to medical billing and revenue cycle management. With specialized treatments, varying insurance policies, and ever-changing regulations, maintaining a profitable practice while delivering exceptional patient care can be demanding. This article explores effective strategies for optimizing your chiropractic billing
Introduction: The Quiet Revenue Leak in PT Clinics Physical Therapists spend years mastering movement, not modifiers. But in 2025, many PT clinics across the U.S. are unknowingly leaving thousands of dollars on the table due to inefficient billing processes. Whether you’re running a solo practice or managing a large therapy
Discover how AI is transforming medical billing in 2025 with automation, faster claim processing, and improved accuracy for U.S. healthcare providers. Introduction In 2025, Artificial Intelligence (AI) is no longer a buzzword in healthcare — it’s a practical, powerful tool reshaping medical billing. With administrative costs soaring and denial rates
