Medical Billers and Coders

Top Year-End Billing Pain Points Dermatology practices face some of the most complicated coding and reimbursement issues at the end of the year. Seasonal appointment spikes put additional pressure on billing teams struggling with: Declining reimbursements for common procedures such as biopsies, lesion excisions, cryotherapy, and Mohs services Payer-to-payer coding variability, especially on pathology-linked services Bundling disputes where multiple procedures performed in the same session are denied due to improper modifier usage Cosmetic vs. medical necessity confusion, leading to denials when documentation doesn’t clearly justify why a lesion needed removal Increased scrutiny on skin cancer—related services due to rising utilization These persistent challenges often leave dermatologists with more unpaid claims, lost revenue, and rising patient AR at year-end. What Practices Are Doing Right Now To reduce claim rejections before the year ends, most dermatology practices are: Re-trainin...

  As the year ends, most professionals across industries prepare for holidays and downtime. But in the U.S. healthcare market, December is the most stressful and high-risk month for revenue. Physicians are racing against: Timely filing limits Insurance backlog Year-end payer rule changes Sudden increase in patient visits Documentation delays from overworked staff The result? Revenue losses peak right when practices expect maximum collections . What’s Currently Trending in the U.S. Healthcare Year-End Market These issues are dominating year-end 2025: Patient deductibles reset on January 1st, so patients rush for care now Payer audits are up, especially for medical necessity Electronic authorization errors are delaying high-value claims Denials returning too late for appeal before the December cutoff Short staffing and seasonal absences are slowing billing workflows Practices are urgently trying to: Submit every pending claim before cut-...

  Why Texas Skilled Nursing Facilities Need RCM Support at Year-End As the year ends, Skilled Nursing Facilities (SNFs) across Texas face high operational pressure—increased patient volumes, PDPM billing complexities, and Medicaid authorization challenges. More than 76% of Texas SNFs experience cash flow delays due to claim denials and backlog in Aging AR . Meanwhile, insurers and government payers tighten audits and documentation checks, increasing payment risk for the facilities. This is where partnering with an experienced medical billing company  becomes crucial. Texas SNF Billing Challenges Right Now Texas SNFs are dealing with: • Medicaid Managed Care claim confusion and authorization errors • Delays in reimbursement due to PDPM documentation gaps • Labor shortages affecting billing and follow-ups • Increased scrutiny from Texas Health & Human Services (HHSC) on compliance • High volume of 60–120+ days Aging AR stuck in payer queues These problems lead...

Year-end is one of the most stressful periods for OBGYN physicians in Arizona. With rising patient volume, high-risk maternity cases, changing payer rules, and tight claim-filing deadlines, revenue can easily slip through the cracks. To maintain cash flow and comply with reimbursement requirements, many Arizona OBGYN clinics near me now rely on local medical billing services to ensure accuracy, speed, and maximum reimbursement before December closes. Partnering with a medical billing company helps OBGYN providers avoid denials, reduce administrative burden, and ensure every claim gets paid the first time. Why Year-End is Critical for Arizona OBGYN Practices High patient load due to prenatal & delivery scheduling before deductibles reset Increased documentation requirements for postpartum care Finalizing annual reporting for OB episodes and global maternity billing Outstanding claims must be rechecked to prevent lost revenue Staff shortage issues increase errors and delays Arizona-S...

  Plastic surgeons in Arizona are facing a demanding year-end period filled with growing patient volume, increased cosmetic procedure interest, and strict payer compliance regulations. From Scottsdale to Phoenix and Tucson, providers often struggle to balance high-quality surgical care with complicated claim requirements—leading to delayed payments, excessive denials, and revenue leakage. Partnering with a dedicated medical billing company can help Arizona plastic surgery practices secure faster reimbursements while staying fully compliant. Why Year-End is Critical for Plastic Surgeons in Arizona High demand for elective and cosmetic procedures before the holidays Last-minute insurance submissions as patients meet deductibles Increased documentation requirements for reconstructive procedures Need to close out old AR before payer cutoff deadlines New 2025 insurance policy revisions impacting approvals State-Specific Challenges: Arizona Plastic Surgery Practices...

Introduction Family medicine practices in Florida are facing a particularly challenging financial climate as 2025 draws to a close. With shifts in payer policies, growing compliance pressure, frequent insurance denials, and an aging patient population heavily reliant on Medicare/Medi-Cal/Medicaid, many independent clinics find themselves struggling to keep cash flow stable while delivering quality care. For family physicians, especially in small or mid-size clinics, staying on top of billing, coding, documentation, and follow-up—while also caring for patients—is becoming nearly impossible. That’s why now more than ever, trusted revenue cycle management (RCM) services have become essential—not optional. Florida-Specific Challenges for Family Practice in 2025 • High Medicare/Medicaid Population & Payment Cuts Florida has one of the highest proportions of Medicare beneficiaries in the country. As a result, many family practices rely heavily on government payers. Recent reimbursem...