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Learning Center

Provider
Learning Center

Free educational resources for practice managers, billing staff, and providers.

Guides by topic

11 categories · 26 guides

Coding & Documentation

  • E/M levelling: matching the code to the documented decision-making
  • Modifier 25 and 59: when they apply and when they invite an audit

Payer & Contract Intelligence

  • Reading a payer contract: the six clauses that matter
  • Benchmarking a fee schedule without a consultant
  • Spotting an underpayment in a remit that balanced

Credentialing & Enrollment

  • The credentialing document pack, assembled once
  • CAQH: setup, attestation and the deadlines that lapse quietly

Claims & Clearinghouse

  • Rejection versus denial, and why the difference changes your workflow
  • Building a payer-specific scrub that actually catches things

AR & Follow-Up

  • Working AR by value and age instead of alphabetically
  • Timely filing: protecting claims before the clock runs out

Systems & Tools

  • Choosing a practice management system you won't regret
  • What to ask an EHR vendor about billing before you sign

Annual Updates

  • The January checklist: fee schedules, code changes and payer notices
  • Assessing an annual code update against your own top codes

Regulatory & Compliance

  • The No Surprises Act in an outpatient practice
  • Good faith estimates: who needs one and when

Payer-Specific Resources

  • Medicare: the policies that generate the most denials
  • Medicaid: state variation and what it means for enrollment
  • Commercial payers: finding and reading published medical policy

Payments & Technology

  • ERA and EFT enrollment, payer by payer
  • Automating payment posting without losing line-level detail
  • Patient payment options that actually get used

Audits & Compliance

  • Responding to a payer audit request
  • Running an internal documentation audit on a rolling sample
  • Building an overpayment refund process before you need one

Guides are published here as they are written. If one you need isn’t up yet, ask us — we’ll usually just answer the question directly.

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