The Ashez Group. Medical Billing & RCM Expert

06/18/2026

https://theashezgroup.com/provider-credentialing-timeline/

Learn the average provider credentialing timeline for Medicare, Medicaid, and commercial insurance plans. Discover common delays and how to speed up provider enrollment.

06/18/2026

💡 Medical Billing 101: ERA vs EDI vs EFT

These three terms work together to get your practice paid faster.

📤 EDI = Sends claims to insurance companies
📄 ERA = Explains how claims were processed and paid
💰 EFT = Deposits payments directly into your bank account

🔄 Simple Flow:
EDI ➜ Claim Submitted
ERA ➜ Payment Details Received
EFT ➜ Money Deposited

✅ Pro Tip:
Practices enrolled in both ERA and EFT typically experience faster payments, fewer posting errors, and improved cash flow.

🌐 www.theashezgroup.com | ☎️ 844-824-4040

06/17/2026

Did you know? Many PT claim denials happen because of **incorrect unit calculations** and missing documentation.

📌 Common Physical Therapy CPT Codes:
✅ 97110 – Therapeutic Exercise
✅ 97112 – Neuromuscular Re-Education
✅ 97116 – Gait Training
✅ 97140 – Manual Therapy
✅ 97530 – Therapeutic Activities

🚫 Common Billing Mistakes:
❌ Incorrect application of the 8-Minute Rule
❌ Missing treatment time documentation
❌ Billing Manual Therapy (97140) without proper support
❌ Using the same documentation for every visit

💡 Quick PT Billing Tips:
✔ Document total treatment time for each service
✔ Verify payer-specific therapy limitations
✔ Track visit counts and authorization requirements
✔ Ensure goals and progress are updated regularly

📈 Pro Tip:
For time-based CPT codes, accurate minute tracking can make the difference between billing 2 units and 3 units—directly impacting reimbursement.

At The Ashez Group, we help Physical Therapy practices improve billing accuracy, reduce denials, and maximize revenue.

🌐 www.theashezgroup.com
☎️ 844-824-4040

06/16/2026

🚨 Did You Know? Aging Claims Become Harder To Collect Every Month 🚨

Many practices focus on new claims while older balances quietly pile up in Accounts Receivable.

The longer a claim remains unpaid, the lower the likelihood of full reimbursement.

💡 A/R Management Tips:
✔️ Review claims over 30, 60, and 90 days regularly
✔️ Identify payer-specific payment trends
✔️ Appeal denials immediately
✔️ Follow up on outstanding balances consistently
✔️ Monitor underpaid claims—not just denied claims

Common A/R Warning Signs:
❌ Increasing 90+ day balances
❌ Unworked denial inventory
❌ Slow payer responses
❌ Missing appeal deadlines
❌ High write-offs

Strong A/R management helps create:
📈 Faster collections
📈 Improved cash flow
📈 Reduced write-offs
📈 Higher reimbursement rates

At The Ashez Group, we help healthcare providers strengthen:
✔️ Accounts Receivable Follow-Up
✔️ Denial Management
✔️ Revenue Cycle Management
✔️ Medical Billing Services

📞 844-824-4040
🌐 theashezgroup.com

06/15/2026

https://theashezgroup.com/why-medical-claims-get-rejected/

Learn the top reasons why medical claims get rejected on first submission and how to reduce denials. Discover "Why Medical Claims Get Rejected."

06/15/2026

Telepsychiatry has become one of the fastest-growing services in behavioral health, and many commercial payers plus Medicare now reimburse virtual psychiatric care.

📌 Common Telehealth Services Psychiatrists Can Bill:
• Psychiatric evaluations
• Medication management
• Individual psychotherapy
• E/M + psychotherapy add-on services
• Follow-up psychiatric visits

🚫 Common Billing Mistakes That Cause Denials:
❌ Incorrect POS code (02 vs 10)
❌ Missing Modifier 95 or GT
❌ Documentation missing patient consent
❌ Billing audio-only visits incorrectly
❌ Using in-person coding rules for virtual visits

✅ Important Telehealth Billing Tips:

🔹 **POS Codes Matter**
• POS 02 = Telehealth provided outside patient’s home
• POS 10 = Telehealth provided in patient’s home

🔹 **Use Correct Modifiers**
Many payers require Modifier 95 to identify synchronous telehealth services.

🔹 **Document Clearly**
Your note should include:
✔ Patient consent
✔ Location of provider & patient
✔ Time spent
✔ Audio/video modality used

🔹 **Verify Payer Policies Frequently**
Telehealth rules change often — especially for behavioral health and Medicare plans.

💡 Pro Tip:
Many psychiatric telehealth denials happen because providers focus only on CPT codes while overlooking modifiers, POS, and documentation requirements.

At The Ashez Group, we help psychiatrists and behavioral health practices optimize telehealth billing, reduce denials, and maximize reimbursements while staying compliant.

🌐 theashezgroup.com
☎️ 844-824-4040

06/13/2026

⏳ Major Insurance Payers & Common Timely Filing Limits

Every insurance payer has a deadline for claim submission and corrected claims. Missing it can mean permanent revenue loss.

📌 Common Timely Filing Limits:

🔹 Medicare → 12 Months from DOS
🔹 Medicaid → Varies by State
🔹 Aetna → 90–180 Days
🔹 Cigna → 90 Days
🔹 UnitedHealthcare → 90–180 Days
🔹 BCBS Plans → Typically 180 Days
🔹 Humana → 90 Days
🔹 Tricare → 1 Year from DOS

🚫 One of the biggest billing mistakes:
Waiting too long to correct or appeal denied claims.

✅ Smart Billing Tips:
• Track filing limits by payer
• Work denials weekly
• Save proof of timely filing
• Submit corrected claims immediately

💡 Timely follow-up protects revenue and improves cash flow.

🌐 www.theashezgroup.com
☎️ 844-824-4040

06/12/2026

A claim can be perfectly coded and still get denied… if the authorization dates don’t match the date of service.

🚫 One of the most overlooked billing mistakes:
Using an expired or future-dated authorization on a claim.

✅ Quick Tips to Prevent Denials:
• Verify authorization validity dates before every visit
• Confirm approved CPT codes match billed services
• Track remaining authorized visits/sessions
• Re-check authorizations after treatment plan changes

💡 Small verification steps today can prevent weeks of payment delays tomorrow.

🌐 www.theashezgroup.com | ☎️ 844-824-4040

06/12/2026

https://theashezgroup.com/insurance-verification-services-importance/

Discover why Insurance Verification Services are critical before every appointment to reduce claim denials and improve revenue cycle management.

06/11/2026

Telehealth services continue to grow — but billing mistakes can still lead to denied claims and delayed reimbursements.

Common Telehealth Billing Issues:
❌ incorrect POS codes
❌ missing telehealth modifiers
❌ payer-specific billing errors
❌ eligibility not verified
❌ documentation gaps

💡 Quick Telehealth Billing Tips:
✔️ Verify telehealth coverage before appointments
✔️ Confirm payer-specific telehealth guidelines regularly
✔️ Use correct POS and modifier combinations
✔️ Ensure documentation supports medical necessity
✔️ Track state and payer policy updates consistently

Common Telehealth Modifiers:
📌 Modifier 95 – Synchronous telemedicine service
📌 Modifier GT – Telehealth services via interactive audio/video
📌 POS 10 – Telehealth provided in patient’s home
📌 POS 02 – Telehealth provided outside patient’s home

Strong telehealth workflows help create:
📈 faster reimbursements
📈 cleaner claims
📈 fewer denials
📈 stronger cash flow

At The Ashez Group, we help healthcare providers strengthen:
✔️ Telehealth Billing
✔️ Revenue Cycle Management
✔️ Denial Management
✔️ Insurance Verification
✔️ Medical Billing Services

📞 844-824-4040
🌐 theashezgroup.com