June 2025

Top Mistakes Practices Make with Managed Care Agreements in FL

Physicians in Florida who enter managed care agreements are navigating more than standard contracts. They are stepping into a system that significantly impacts income, clinical time, and administrative burden. Research indicates that physicians with a higher number of managed care contracts tend to report greater earnings, but also experience reduced time with patients and increased […]

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Direct Contracting vs Traditional Insurance

Healthcare providers today are navigating an increasingly complex financial landscape. One of the emerging alternatives to traditional insurance is direct contracting. This model offers a refreshing, simplified approach to healthcare delivery and revenue collection, allowing providers to work directly with patients or employers without the administrative drag of third-party insurers. But how does it truly

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TCP/IP vs HL7: What’s the Difference in Healthcare Communication?

Healthcare communication has evolved rapidly, with digital platforms and protocols playing a critical role in ensuring secure and efficient data exchange. When discussing interoperability, two important terms often surface: TCP/IP and HL7. While both are essential in transmitting healthcare data, they serve very different purposes. Understanding these differences is vital for healthcare administrators, IT professionals,

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How Health Information Exchange Can Help Address Healthcare Disparities

Despite medical advances, healthcare disparities remain a pressing issue. Communities with limited access to care, lower socioeconomic status, or racial and ethnic minorities often receive inconsistent or substandard care. But what if better data sharing could bridge the gap? Enter Health Information Exchange (HIE). HIE is transforming how providers access and use patient data across

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The Role of MSOs in Streamlining Healthcare Administration

Healthcare today is more complicated than ever. From changing regulations to administrative overload, physicians often find themselves spending more time on paperwork than on patient care. Enter the MSO: a Management Services Organization. But what is a management service organization, and why are so many healthcare providers turning to them? In this blog, we uncover

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What Is Authorization in Medical Billing and Why Is It Important?

Imagine this: A patient arrives for a crucial medical procedure, only to be told that the service cannot be performed because it was not authorized by their insurance. This situation is all too common and underscores the critical role of authorization in medical billing. In today’s complex healthcare environment, ensuring proper authorization is not just

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What is an Entity Code in Medical Billing? A Complete Guide

Ever had a claim denied for reasons that seemed almost invisible? If you’re navigating the world of medical billing, understanding every piece of the puzzle is crucial. One overlooked but critical detail is the entity code. This simple code can make or break a claim submission, yet many providers and billing professionals don’t fully understand

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Top 10 KPIs Every Physician Should Track to Grow Their Practice

For physicians seeking to expand their practices, tracking performance metrics is no longer optional. Key performance indicators (KPIs) serve as the data backbone of operational decision-making, helping you align clinical excellence with business sustainability. Without clear metrics, even the most skilled providers can struggle to understand where improvements are needed. Understanding KPI for doctors allows

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The 3 Types of Medical Billing Every Healthcare Provider Should Know

Unlocking Revenue Potential with the Right Medical Billing Knowledge Medical billing is the backbone of any healthcare practice’s financial health. Yet, many providers are unaware that medical billing is not a one-size-fits-all process. Understanding how many types of medical billing exist and how each operates can dramatically improve practice efficiency and revenue collection. Whether you

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Reversal vs. Recoupment: Key Billing Difference

Understanding the Critical Distinction in Medical Billing Medical billing is an essential part of running a successful healthcare practice. However, billing errors and adjustments are inevitable. Two terms often causing confusion are reversal and recoupment. Both relate to the correction of payment errors, but they have very different meanings and consequences for healthcare providers.

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June 2025

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