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Posts tagged "Medicare Billing"

Locum Tenens Billing Rules: Q6 Modifier, 60-Day Limit & Compliance

May 13, 2026 / Alex J. Lau / Locum Tenens Billing, Medical Billing
Locums Tenens Medical Billing (nurse and doctor resources)

Locum tenens arrangements have become a routine part of how medical practices keep their doors open when a provider is out. A physician takes a two-week vacation, a nurse practitioner goes on maternity leave, or a specialist is pulled away for continuing medical education. The practice brings in a substitute provider to cover the schedule […]

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60-day Rule, CMS Compliance, Medical Billing Compliance, Medicare Billing, OIG Exclusion, Provider Credentialing, Q6 Modifier, Substitute Provider

PECOS 2.0: Medicare Enrollment Gets a Major Upgrade

November 20, 2025 / Alex J. Lau / Medicare Credentialing
Female Medical Doctor PECOS User

The moment healthcare providers have been waiting for has arrived. After years of anticipation, CMS has officially launched PECOS 2.0, a ground-up rebuild of how providers enroll in and maintain Medicare participation. This isn’t a cosmetic redesign, it changes daily workflow for anyone who touches Medicare enrollment, credentialing, or revenue cycle operations. Whether you’re handling […]

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CMS, Medicare Billing, Medicare Enrollment, PECOS, Revalidation

Florida Medical Billing, Credentialing: The Sunshine State’s Standards

July 7, 2025 / Alex J. Lau / Florida Billing, Florida Credentialing
Florida Medical Billing, Credentialing

Florida’s healthcare landscape represents one of the most complex and rapidly evolving markets in the United States. With over 22 million residents, including the nation’s largest population of seniors, Florida presents unique challenges and opportunities for healthcare providers. From the bustling metropolitan areas of Miami and Orlando to the state capital in Tallahassee, medical practices […]

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Jacksonville Medical Billing, Medicare Billing, Miami Medical Billing, Orlando Medical Billing, Tampa Medical Billing

Medicare Reimbursement: Understanding the Labyrinth

April 3, 2024 / Alex J. Lau / Medicare
Medicare Labyrinth

If you’re a healthcare provider or facility dealing with Medicare, one thing is certain, getting properly reimbursed is a maze filled with complex rules, convoluted paperwork, and often, sheer frustration. Medicare reimbursement is the lifeblood that keeps many healthcare operations afloat, but navigating its serpentine pathways can feel like a daily battle. Buckle up as […]

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CMS, Geographical Practice Cost Index, Inpatient Prospective Payment System, IPPS, Medicare Billing, Prospective Payment Systems

Recent Posts

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    What’s a Net Collection Rate in RCM?

  • Modifier 96 versus Modifier 97

    Modifier 96 vs. Modifier 97: What Therapy Billers Need to Know

  • 'Revalidation versus Recredentialing' Neon Sign

    Revalidation vs. Recredentialing: What’s the Difference? (2026 Guide)

  • Ghost Provider or Doctor Roaming the Hallways of a Hospital

    The Ghost Provider Problem: CAQH Lapse & Denials

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Recent Posts

  • Denied Medical Claim Appeal Letter

    Why an Approved Authorization Can Still End in a Denied Claim

  • AI Scribes Changing Medical Coding and Billing

    AI Scribes are Changing Medical Coding, Reimbursement

  • Net Collection Rate, analyzed by analyst

    What’s a Net Collection Rate in RCM?

  • Modifier 96 versus Modifier 97

    Modifier 96 vs. Modifier 97: What Therapy Billers Need to Know

  • 'Revalidation versus Recredentialing' Neon Sign

    Revalidation vs. Recredentialing: What’s the Difference? (2026 Guide)

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