Medtransic Blog
Medical Billing Insights & Expert Guides
Practical guides on billing, credentialing and prior authorization for therapy and behavioral health practice owners.
Figures are representative averages across our client base; individual results vary by practice, specialty, and payer mix.
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Our most recent guides and insights
Medicare Prior Authorization: What Original Medicare and Medicare Advantage Require
Original Medicare requires prior authorization for a short list of services. Medicare Advantage requires it for almost everything. Most of the confusion in a practice comes from treating those two as one payer.
Medicaid Prior Authorization: How It Works and What Changed in 2026
Medicaid prior authorization is not one process. It is a separate program in every state, each with its own rules, plus managed care plans layered on top. Here is how it works, what federal rules now require, and where practices lose money.
How to Choose a Medical Billing Company: A Buyer's Guide for Physicians and Practice Owners
Choosing a billing company is one of the highest-stakes vendor decisions a practice makes - the wrong choice costs revenue every single week and is painful to unwind. This guide gives you the evaluation framework: the metrics to demand, the pricing questions that expose hidden fees, the contract terms that protect you, and the red flags that should end a conversation.
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Revenue Cycle Management
3 articlesMedicare Prior Authorization: What Original Medicare and Medicare Advantage Require
Original Medicare requires prior authorization for a short list of services. Medicare Advantage requires it for almost everything. Most of the confusion in a practice comes from treating those two as one payer.
Medicaid Prior Authorization: How It Works and What Changed in 2026
Medicaid prior authorization is not one process. It is a separate program in every state, each with its own rules, plus managed care plans layered on top. Here is how it works, what federal rules now require, and where practices lose money.
Revenue Cycle Management Services: The 7 Stages, What Breaks at Each One, and How to Fix It
Revenue cycle management has 7 stages, and a weak one costs money. This guide walks through every stage of the revenue cycle, shows what goes wrong at each one, and explains how to fix it with or without an outside RCM service.
Medical Billing
12 articlesHow to Choose a Medical Billing Company: A Buyer's Guide for Physicians and Practice Owners
Choosing a billing company is one of the highest-stakes vendor decisions a practice makes - the wrong choice costs revenue every single week and is painful to unwind. This guide gives you the evaluation framework: the metrics to demand, the pricing questions that expose hidden fees, the contract terms that protect you, and the red flags that should end a conversation.
Medical Billing Services: What Physicians Need to Know Before Outsourcing
Practices lose collectible revenue to billing execution: unworked denials, expired authorizations, aging claims, and a system that punishes anyone who does not work it full time. Here is where that revenue goes and how to evaluate a billing service that can stop it.
Medical Billing Services for Small Practices: You Are Doing Too Much and Collecting Too Little
You finished charting at 8pm last night. You spent your lunch break calling Blue Cross about a denied claim. Your office manager handles billing between check-ins, and half the denials from last month are still sitting in a pile nobody has touched. You are running a practice and a billing department at the same time - and both are suffering. Here is how to work out what it is costing you and what to do about it.
Accounts Receivable in Medical Billing: Is Your Practice Collecting What It's Owed?
Most practices don't have an AR problem - they have an aging AR problem. The older a claim gets, the harder it is to collect, and appeal windows start to close. Here's how to know where your practice stands and what's still recoverable.
Payer Enrollment Services for Medical Practices: What to Know Before Every New Hire
Every month a new provider waits for payer enrollment is a month of visits you cannot bill to that payer. In our experience, credentialing usually takes 60 to 90 days with each payer. Enrollment isn't paperwork: it decides when a new hire starts bringing in revenue.
Billing Services for Physicians: Where Private Practices Lose Revenue
Many physician practices lose revenue to billing failures that never show up as denied claims: visits coded below what the documentation supports, missed add-on codes, unworked denials and fee schedules nobody has reviewed. This guide breaks down where those leaks happen and what a physician billing service should do about them.
Medical Billing Audits: What Every Practice Manager Needs to Know Before Revenue Walks Out the Door
Correctable billing errors can sit unnoticed for years. A billing audit finds them. Here is what an audit examines, how internal and external audits differ, and when your practice needs one.
Medical Billing Technology in 2026: Automation, AI, and What Actually Improves Collections
Every billing vendor says it uses AI. Here are the six categories of billing technology that actually affect collections, where automation stops and human judgment starts, and what to ask your billing company.
Medical Billing Outsourcing Costs in 2026: Pricing Models, What's Included, and How to Run the Numbers
Outsourced billing is usually priced as a percentage of collections. Medtransic charges 4-8%. Here is how the pricing models work, what is included versus billed as an add-on, and how to compare the cost against keeping billing in-house.
Medical Billing Software for Small Practices: Features That Matter, Platforms Compared, and When Outsourcing Beats Software
The subscription is the smallest part of what billing software costs. Staff, training and management sit on top. Here is how to evaluate platforms, which features actually help collections, and when outsourcing makes more sense.
Medical Billing Services in Texas: Rules, Payers, and What Practices Need to Know
Texas has its own Medicaid managed care programs, its own surprise billing law, and a 95-day filing limit for state-regulated commercial plans. Here is what Texas practices need to get right.
Timely Filing Limits: Payer Deadlines and How to Track Them
Medicare gives you 12 months from the date of service. UnitedHealthcare gives in-network providers 90 days. Miss a payer's timely filing deadline by one day and a clean claim becomes a write-off. Here are the major deadlines and how to track them.
EHR Integration
1 articleAthenaHealth RCM Optimization: How to Maximize Revenue on the Athena Platform
Using AthenaHealth but still seeing high denial rates? Learn how to optimize your Athena workflows, clean up your hold buckets, and use athenaOne's billing tools well.
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