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The CMS Comprehensive Error Rate Testing (CERT) program flags evaluation and management codes as the largest source of Medicare improper payments, year after year. CPT code 99202 is an evaluation and management code used for new patient office or other outpatient visits that require straightforward medical decision making or 15…

A patient walks in. Your team provides the service. The claim goes out. Then it bounces back, denied. Not for a coding error. Not for missing documentation. The patient’s insurance had lapsed three days before the appointment, and nobody caught it. Or the procedure needed prior authorization that was never…

Key Takeaways: 41% of healthcare providers now see more than one in ten claims denied, according to Experian Health’s 2025 State of Claims report. Three years earlier, that number was 30%. KFF and CMS report over 35 million Americans enrolled in Medicare Advantage as of February 2026. With that many…

Healthcare providers searching for reliable Alamo TX medical billing services know the struggle: denied claims stack up, payments arrive late, and your staff spends more time fighting insurance companies than caring for patients. Here in the Rio Grande Valley, these challenges hit even harder. You’re dealing with a heavy Medicare and Medicaid…

Introduction: Telehealth has changed the healthcare industry, giving patients access to care without traveling to a clinic. However, this shift comes with new complexities in telehealth medical billing. Providers now face evolving payer policies, technology requirements, and unique reimbursement rules that differ from in-person visits. At One O’Seven RCM, we…

Running a private practice is more difficult than treating patients, it’s about leading a business. Many doctors who open their own practice should discover that how much business knowledge is required to succeed. From billing operations to technology, smart and calculated decisions in particular right areas results in growth of…