14 Nov Articles Payer Contract Negotiations: Key Terms & Strategies | TriumpHealth November 17, 2025 By Ian Lamba Negotiating payer contracts is where margin is won or lost often in the fine print. Below is a practical guide drawn from real-world co... Continue reading
24 Oct Articles Medicare Billing Guidelines for Q-Codes with CPT 15271–15278: A Guide for Wound Care Physicians November 17, 2025 By Ian Lamba Medicare reimbursement for cellular and/or tissue-based products (CTPs) — billed with Q-codes — and their associated CPT application co... Continue reading
20 Oct Articles Why Taxonomy Codes Matter in Provider Credentialing & Medical Billing October 24, 2025 By Ian Lamba In the complex world of healthcare credentialing, one small oversight can lead to delayed reimbursements, claim denials, and compliance... Continue reading
15 Oct Articles How to Transition Provider Credentialing When Leaving or Joining an ACO October 15, 2025 By Ian Lamba Understanding ACO Credentialing and Payer Enrollment When a provider participates in an Accountable Care Organization (ACO) or large g... Continue reading
07 Oct Articles Medicare Enrollment Requirements for Healthcare Providers & DME Suppliers October 15, 2025 By Ian Lamba Enrolling in Medicare is a critical step for healthcare providers, group practices, and Durable Medical Equipment (DME), Prosthetics, O... Continue reading
06 Oct Articles Mobile Wound Care Credentialing and Billing: What Providers Need to Know October 6, 2025 By Ian Lamba Mobile wound care is one of the fastest-growing niches in healthcare. With the rise of chronic conditions like diabetes and vascular di... Continue reading
24 Sep Articles 2025 MIPS Reporting Challenges | Tough Measures Explained October 7, 2025 By Ian Lamba The Merit-Based Incentive Payment System (MIPS) continues to evolve, raising the stakes for providers and practices in 2025. With 59 me... Continue reading
20 Sep Articles HCFA 1500 vs UB04: When to Bill Each for Your Ambulatory Surgery Center (ASC) October 6, 2025 By Ian Lamba In the world of Ambulatory Surgery Center (ASC) billing, one of the most common points of confusion is when to use the HCFA 1500 form v... Continue reading
15 Sep Articles Wound Care Billing: Getting Skin Grafts and Substitutes Right September 19, 2025 By Ian Lamba Wound care is one of the most profitable and scrutinized specialties in billing. While debridements and negative pressure wound therapy... Continue reading
10 Sep Articles Non-Participating Medicare Providers: What Healthcare Practices Need to Know September 10, 2025 By Ian Lamba Medicare providers often face an important decision: whether to become a participating (par) provider or remain non-participating (non-... Continue reading