Medical Billing Insights & RCM Trends

Arkansas PASSE Provider Enrollment for Behavioral Health Groups

Arkansas covers most complex behavioral health Medicaid patients through the PASSE program, not standard Medicaid, and a Medicaid provider ID does not include PASSE participation. This guide explains how the four PASSEs work, who they cover, and how behavioral health groups enroll to bill their full patient panel.

By Mark Wood September 9, 2026Credentialing4 Comments

Medical Billing

Clean Claim Rate: How to Measure It and Why It Matters

Clean claim rate is the percentage of claims a payer accepts on first submission, and it's the earliest, most controllable measure of billing health. Almost every other revenue cycle problem starts as a dirty claim that could have gone out clean. Here's how to measure it, what's healthy, and how to raise it.

By Mark Wood September 7, 2026Medical Billing9 Comments

Medical Billing

The Most Common Medical Billing Denial Codes and How to Fix Each

Every denied or reduced claim comes back with a code that tells you exactly why. A short list of codes accounts for the overwhelming majority of denials, and each one has a specific, repeatable fix. Here's what CO-16, CO-97, CO-45, CO-197, and the rest actually mean, and the exact action that resolves each.

By Mark Wood August 31, 2026Medical Billing12 Comments

Medical Billing

Net Collection Rate: The One Number That Shows If You’re Getting Paid

Net collection rate is the percentage of money you were actually owed that you managed to collect. It strips out inflated charges and agreed discounts to answer the one question that matters: out of what you were entitled to, how much did you get? Here's how to calculate it, what's healthy, and what drags it down.

By Mark Wood August 25, 2026Medical Billing6 Comments

Credentialing

Introducing CredTrack: Real-Time Visibility Into Your Credentialing

Credentialing is usually a black box. You submit applications, hand off documents, then wait with no clear view of where anything stands. CredTrack changes that: a real-time credentialing portal with live application status, renewal reminders, secure document storage, and a full audit trail, free with every MedBillingTech credentialing engagement.

By MBT Team August 19, 2026Credentialing

Credentialing

Behavioral Health Credentialing in Tennessee: TennCare and Commercial

Behavioral health credentialing in Tennessee runs through a managed care model where nearly every Medicaid dollar flows through one of three private plans. Getting enrolled with the state is only the first step; contracting with the MCOs is what lets you bill. Tennessee also skips the behavioral health carve-out most states use. Here's how it all works, on both the TennCare and commercial sides.

By Mark Wood August 13, 2026Credentialing1 Comment

Medical Billing

Days in AR: What’s Normal and How to Fix a Rising Number

Days in AR measures how long it takes your practice to collect payment after a service is rendered. It's the clearest single indicator of revenue cycle health, and a rising number is almost always the first sign of a billing problem, showing up in the data weeks before it shows up in your bank balance. Here's the formula, the benchmarks, and how to bring it down.

By Mark Wood August 10, 2026Medical Billing5 Comments

Credentialing

Locum Tenens Credentialing: How It Works

Locum tenens credentialing works differently from standard credentialing because a locum usually bills under the absent physician's identity, not their own. It keeps the schedule covered without waiting out a 90-day credentialing cycle, but it comes with a specific set of rules: the Q6 modifier, the 60-day limit, exclusion screening, and wide payer variation. Here's how it all works.

By Mark Wood July 16, 2026Credentialing

Credentialing

Hospital Privileging vs Payer Credentialing: What’s the Difference?

Payer credentialing and hospital privileging get used interchangeably, but they answer completely different questions. One determines whether an insurer will pay you. The other determines whether a hospital will let you perform specific procedures on its premises. A provider can have one without the other, and confusing them creates costly gaps. Here's how they differ and why it matters.

By Mark Wood July 13, 2026Credentialing