October 2025

Medicaid Managed Care Billing

Master Medicaid Managed Care Billing & Stop Claim Denials

Ever feel like you’re wrestling with a hydra of paperwork just to get paid for treating Medicaid patients? You’re not alone. The shift to Medicaid Managed Care (MMC) has fundamentally changed how healthcare providers, practice managers, and clinic owners interact with the system. Consequently, the administrative burden has surged. This guide will untangle MMC, explain […]

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Health Insurance Plans Strategic Selection Guide

For practice managers, providers, and owners, selecting the right health insurance plans strategic selection to accept is a critical decision. This choice directly impacts your revenue stream, patient demographics, and administrative workload. In fact, understanding the nuances between different health insurance plans is essential for financial stability and practice growth in today’s competitive healthcare environment.

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JW and JZ Modifiers

JW and JZ Modifiers Compliance: Drug Billing Guide

In today’s healthcare landscape, every dollar counts. Therefore, for practice managers and providers, proper drug billing is crucial. It ensures compliance and maximizes revenue. A common pain point? Billing for single-dose vials. Fortunately, Medicare offers a clear solution with two essential codes: the JW and JZ modifiers. Understanding these modifiers is key to getting paid

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