In this episode, we talk with Bob Roth, Managing Partner of Cypress HomeCare Solutions.

We sit down with Vinod Somareddy, Owner of ReddyCare Physical Therapy, to hear his journey from studying exercise science and baseball to building one of New York’s fastest-growing physical therapy practices.

We sit down with Matt Kearns, Head of Revenue Cycle Management at Lattimore Physical Therapy, former CEO of Brownstone Physical Therapy, to discuss the operational challenges and innovations in physical therapy.

In this episode, we sit down with Chris Hoekstra, Chief Clinical Transformation Officer, and Brent Huber, VP of Revenue Management at Therapeutic Associates.

We sit down with Cathy Sharpe, Director of Revenue Cycle Management at Codman Square Health Center, a Federally Qualified Health Center (FQHC) serving the Boston community.

Darin Brannan, Chief of Clinical Innovation at Bethany Children’s Hospital, to discuss the hospital’s mission to provide complex medical care for children with serious illnesses and injuries.

Bill Weik, CEO of Orthopedic Associates of Lancaster, shares his approach to leadership, innovation, and operational excellence in orthopedic care.

HealthTap CEO Sean Mehra shares how AI and virtual care are transforming primary care, improving efficiency, and addressing physician shortages in this candid conversation on digital health innovation.

We sat down with Robbie Hinkebein of Select Medical to talk leadership, innovation, and how one of America’s largest post-acute networks is navigating today’s evolving healthcare landscape.

In our premiere episode, Nomi Health CEO Mark Newman shares how technology can fix America’s costly, inefficient healthcare system—and why bold innovation is the only way forward.

Jake Pelligrini, Director of Operations at AIR, breaks down how the platform eliminates fragmented healthcare tech stacks, and why AI-powered chart notes and compliance tools are changing the game for PT clinics.

Jonathan Thomson, Senior Implementation Manager at Athelas Commure, breaks down how Rock Valley is undergoing a full operational transformation powered by AI-driven EMR, RCM automation, and ambient scribe technology.

Kavan Zommers, VP of Launch Operations at Athelas Commure, shares how teams approach onboarding, implementation, and growth across both EHR and revenue cycle management.

In the second episode of our new series with Rock Valley, Wendy Bloomhuff VP, Slate, Rock Valley Physical Therapy, shares why the team is excited to partner with Athelas Air as they continue building Slate and supporting private practices across their network.

In the second episode of our new series with Rock Valley, Wendy Bloomhuff VP, Slate, Rock Valley Physical Therapy, shares why the team is excited to partner with Athelas Air as they continue building Slate and supporting private practices across their network.

In the first episode of our new series with Rock Valley, Eric talks about what it takes to run a 60+ clinic operation, the metrics that keep him up at night, why he believes staff engagement is the key to any technology rollout, and what excites him most about partnering with Athelas on the move to Athelas Air. This is the first of several conversations with the Rock Valley leadership team. More coming soon.

Mark Greenwell knows how complex the operating environment is for private practices and that Athelas, Powered by Commure, is best situated to help practice owners succeed.

The first episode of the webinar covers how AI supports the pace and complexity of orthopedic care, from exam-heavy visits to procedures, imaging, and follow-ups.

This webinar covers how AI supports the pace and complexity of orthopedic care, from exam-heavy visits to procedures, imaging, and follow-ups.

In 2025, mid-market specialty practices are slashing documentation costs by 40–60% through ambient AI scribe technology that automates EHR-ready notes, reduces burnout, and improves billing accuracy. By strategically piloting AI in high-volume clinics, replacing human scribes, and leveraging smart coding and compliance tools, practices can boost efficiency and revenue without disrupting workflows.

By 2025, specialty practices are using ambient AI scribes to dramatically improve patient satisfaction by cutting screen time, boosting face-to-face interaction, and delivering real-time, patient-friendly summaries. These tools help providers spend up to 85% of visits focused on patients, raising “felt heard” scores, reducing post-visit calls, and strengthening overall trust and engagement.

Tracking the right KPIs is essential to proving the ROI of **ambient AI and RCM automation** in specialty practices like cardiology, orthopedics, and oncology. By monitoring metrics such as denial rates, A/R days, and documentation time, practice leaders can quantify efficiency gains, revenue growth, and provider satisfaction to ensure their investment drives lasting impact.

This blog explains how **ambient AI scribes** streamline clinical workflows by automatically converting patient-provider conversations into structured, EHR-ready notes—saving up to 18 minutes per visit. It offers a practical, phased approach to integration, emphasizing minimal disruption, compatibility with major EHRs, and measurable efficiency gains. By reducing administrative burden and improving documentation quality, ambient AI scribes help practices boost productivity, reduce burnout, and enhance patient care in 2025.

This blog explores how AI is helping physical therapy (PT) practices combat rising costs, falling reimbursements, and workforce burnout. As industry consolidation and admin burdens grow, AI tools like automated billing, denial management, and ambient scribing offer relief and boost efficiency. With the right tech, PT practices can improve care access, retain staff, and stay financially strong in a challenging healthcare landscape.

Specialty practices in 2025 face overwhelming administrative demands that take time away from patient care. Ambient AI streamlines documentation and billing, helping providers work smarter, reduce burnout, and improve patient engagement.

Ambient AI scribes are voice-enabled tools that automatically generate medical notes during patient visits, helping providers reduce documentation time and focus more on patient care. While they offer major efficiency and burnout relief benefits, practices must weigh risks like accuracy issues and data privacy before adopting widely in 2025.

Ambient AI is transforming medical practices, allowing providers to focus more on patient care, improve visit efficiency, and reduce exhaustion. The result is smoother workflows, better morale, and enhanced billing accuracy—all without sacrificing quality of care.

Athelas products will help Raleigh Orthopaedic streamline clinical and administrative tasks, giving clinicians more time to spend on patient care

We are excited to share that Athelas, powered by Commure, has raised $200 million in growth funding from General Catalyst’s Customer Value Fund (CVF).

AI Medical Scribes are taking the healthcare industry by storm, from combatting physician burnout to improving patient care. Find out how this technology automates documentation, boosts efficiency, and increases revenue, as well as what are the must-have features for your practice.

We are beyond excited to share that Athelas and Commure - a leading provider of enterprise healthcare software - are merging to create a $6B healthcare infrastructure company!

Athelas Scribe is on the forefront of AI in healthcare. Discover how the AI is allowing health systems to run their patient intake process with ease. Freeing providers to focus more on patients, less on documents.

Fresh capital to accelerate AI-powered digital transformation in healthca

Athelas will be at AAOE 2026 in Louisville, April 20 to 22, and one lucky visitor will get a chance to win a Napa Valley experience for two.

The HEP Library is getting an upgrade with 2,000+ new exercise images designed to improve patient materials while maintaining the same flexible provider workflow.

Athelas, a Commure company, today announced that the FDA cleared the CLIA-waived Athelas Home diagnostic device for use in point-of-care settings. The AI-powered hematology analyzer is used by tens of thousands of patients and now enables same-visit testing to support clinical decisions without reliance on central labs.

Athelas hosted its quarterly Summit in October 2025, bringing together partners from across the country for two days of collaboration, innovation, and hands-on exploration of Athelas’ AI-powered healthcare solutions. The event highlighted Athelas’ commitment to transparent partnership, showcasing new agentic workflows and deepening relationships that drive better care and operational efficiency.

Athelas products will help Raleigh Orthopaedic streamline clinical and administrative tasks, giving clinicians more time to spend on patient care

Lattimore selects Athelas Air to transform revenue operations and EHR performance, consolidating its tech stack, improving margins, and enabling real-time access to financial and clinical insights

Industry-leading EHR system now available for large physical therapy groups and SMBs, delivering real-time data access, streamlined billing, and AI-driven automation

We are excited to share that Athelas, powered by Commure, has raised $200 million in growth funding from General Catalyst’s Customer Value Fund (CVF).

Integrated technology and innovative health-at-home solutions are transforming the healthcare experience for patients and providers alike.

MOUNTAIN VIEW, Calif., Oct. 23, 2024 (GLOBE NEWSWIRE) -- Athelas, powered by Commure, has been selected by HCA Healthcare, Inc., one of the nation’s leading providers of healthcare services, as the exclusive partner to develop and deploy an ambient AI platform across its network of healthcare professionals. This partnership, following Athelas/Commure’s acquisition of ambient AI pioneer Augmedix, marks a significant step forward in efforts to integrate AI into healthcare and transform the way patient visits are conducted and documented across the HCA Healthcare network. A formal enterprise agreement is being negotiated between the two companies.

Commure and Athelas sign to acquire AUGX.

Following a cyberattack on Change Healthcare that disrupted critical IT infrastructure, an urgent care practice faced significant operational challenges, with 1,310 insurance claims worth $523K stalled. Athelas's swift implementation of a tailored Revenue Cycle Management (RCM) solution, leveraging multiple submission channels and seamless integration with the practice's EHR system, quickly restored the clinic's cash flow and operational stability, showcasing the importance of resilient healthcare collaborations in crisis situations.

Athelas/Commure, a leading healthcare technology company, acquihires RoBhat Labs, and brings on founder Ash Bhat to work on special projects.

We're thrilled to announce the launch of our advanced safety solution, Commure Strongline Pro! Building upon the success of Commure Strongline, Strongline Pro enhances caregiver safety by providing increased and versatile coverage beyond the hospital, longer battery life and more.

We are beyond excited to share that Athelas and Commure - a leading provider of enterprise healthcare software - are merging to create a $6B healthcare infrastructure company!

Check out the top Y Combinator companies shaping the future of healthcare.

The ranking brings Athelas in the same list of iconic startups such as Airbnb, Brex, and Stripe.

‘Athelas Home’ cleared by the FDA and granted CLIA-waived status: a landmark FDA clearance for oncology, severe mental illness, and general at-home care.

The new fundraising round brings Athelas's valuation to $1.5 billion.

3-Minute FDA-Cleared Blood Diagnostics Powered by Cutting Edge Hardware and ML

We are beyond excited to share that Athelas and Commure - a leading provider of enterprise healthcare software - are merging to create a $6B healthcare infrastructure company!

‘Athelas Home’ cleared by the FDA and granted CLIA-waived status: a landmark FDA clearance for oncology, severe mental illness, and general at-home care.

3-Minute FDA-Cleared Blood Diagnostics Powered by Cutting Edge Hardware and ML

A step-by-step walkthrough of Flowsheets in Athelas Air. How to document PT visits the way you bill them.

In 2025, mid-sized specialty practices risk losing $50,000–$150,000 annually from preventable EHR integration mistakes like skipping sandbox testing, ignoring adoption metrics, and relying on outdated HL7 setups. Successful integrations hinge on FHIR-based APIs, cross-functional planning, real-world testing, and continuous governance to ensure smooth workflows, higher adoption, and long-term ROI.

The new **Athelas Air Calendar** streamlines medical practice scheduling by displaying appointment details, patient cases, and provider availability—all at a glance, with no extra clicks. Designed for busy front desks and providers alike, it cuts through admin clutter so teams can manage their day efficiently and focus more time on patient care.

Athelas’ **Agents Center** brings AI automation to the front lines of independent medical practices—handling calls, scheduling, insurance verification, and patient outreach so teams can focus on care instead of admin. With real-time analytics, simple setup, and measurable ROI in under 90 days, it helps practices cut costs, boost patient satisfaction, and stay future-ready in an evolving healthcare landscape.

Streamline patient workflows and scheduling with Air Assistant from Athelas, your AI-powered sidekick that speeds charting and appointments in busy clinics.

The blog explains how **orthopedic practices can successfully bill Medicare Part B for total hip replacements (CPT 27130)** in 2025 by meeting documentation and medical necessity requirements. It outlines **updated billing tips, common denial fixes, and preventive strategies**—emphasizing proper ICD-10 coding, modifier use, and automation tools like Athelas RCM to maintain high reimbursement rates.

This blog explains how therapy practices can prevent costly Medicare claim denials in 2025 by automating the KX modifier using Athelas’ Air platform. The AI-driven tool tracks therapy thresholds in real time and applies the KX modifier automatically, ensuring claims are compliant and reimbursed. By reducing manual work and errors, practices save time, protect revenue, and stay focused on patient care.

This blog introduces **Athelas Lead Tracker**, a tool designed to help healthcare practices capture and convert more patient leads by streamlining front office workflows. It automates data entry, tracks referrals from all sources, and provides real-time reporting to reduce missed opportunities. With AI-powered features like fax-to-lead automation and custom intake workflows, practices can boost efficiency, improve patient intake, and grow visit volume without adding staff.

Choosing the right EHR system in 2025 is critical for mid-market specialty practices looking to reduce admin burden, improve interoperability, and boost clinical and financial performance. This guide walks practices through identifying must-have features, evaluating vendors, and calculating ROI to ensure a smooth, efficient implementation that supports both patient care and revenue goals.

Choosing the right EHR for your growing practice isn’t one-size-fits-all. This post breaks down Epic, Athenahealth, and Elation to help you find the best fit based on ease of use, specialty features, and scalability.

If your EHR is causing inefficiencies, staff burnout, or missed revenue, it may be holding your practice back. This article highlights seven warning signs—like clunky workflows, poor patient engagement, and lack of scalability—and offers practical fixes.

We are beyond excited to share that Athelas and Commure - a leading provider of enterprise healthcare software - are merging to create a $6B healthcare infrastructure company!

What is healthcare Revenue Cycle Management, how it works, and key benchmarks.

Let’s take a look at the 7 Best Remote Patient Monitoring companies you may want to consider for your practice.

The common Remote Patient Monitoring Billing Codes and how to use them.

Third-party revenue cycle management (RCM) companies are in demand as healthcare providers look to outsource efforts to experts that can streamline billing operations.

Athelas is at the top of its category in patient satisfaction and RPM adherance.

Athelas shares its long-term commitment to the physical therapy community by building technology and services that reduce administrative burden and support sustainable growth. From revenue cycle management to fully integrated practice software, this post highlights how deep partnership and scalable systems help PT practices focus on patient care—today and for the long run.

The Athelas AI RCM Assistant is a conversational AI tool embedded in the Insights dashboard, enabling healthcare teams to instantly query patient accounts, claims, encounters, appointments, and platform FAQs while automating tasks like balance write-offs and claim submissions. Now available to all users at insights.athelas.com, it streamlines revenue cycle management with upcoming features for custom reporting, coding compliance, and automated claim resubmissions.

In 2025, time-based E/M coding is a reliable fallback when medical decision-making doesn’t justify a higher level—so long as providers document exact minutes and note that over 50% of the visit involved counseling or coordination. By using AI tools and EHR time tracking, practices can automatically capture accurate visit durations, prevent downcoding, and stay audit-proof.

In 2025, mid-sized specialty practices are slashing claim rejections by using AI-powered RCM tools that detect coding, auth, and eligibility errors before submission—boosting clean claim rates to over 97%. By automating checks across the billing workflow, these tools prevent costly denials, accelerate reimbursements, and let staff focus on higher-value revenue tasks instead of manual rework.

In 2025, internal medicine practices can confidently bill CPT 99215 by clearly documenting medical necessity through detailed clinical reasoning, high-risk decision-making, and time-based justification. Strong notes highlight the “why now,” show problem complexity, and connect decisions to patient risk—ensuring compliance, preventing downcoding, and protecting reimbursement.

In 2025, podiatry practices can legitimately bill an E/M visit and a procedure on the same day using Modifier 25—if they clearly document that the evaluation was significant and separate from the procedure’s routine work. Proper use requires distinct HPI, exam, and MDM sections, separate ICD-10 codes, and precise note structure to avoid audits, denials, or bundled payments.

In 2025, mid-market specialty practices are boosting cash flow and cutting AR delays by using advanced RCM automation that integrates directly with their EHRs to achieve <30-day AR and 98%+ clean claim rates. By automating eligibility checks, coding, prior authorizations, and patient payments, these groups are accelerating revenue cycles without adding staff or sacrificing compliance.

In 2025, accurately billing CPT 99215 requires clear documentation that proves medical necessity by showing high complexity, clinical risk, and time-based justification. Internal medicine providers can prevent downcoding and denials by framing the visit’s urgency, detailing decision-making, linking problems to actions, and closing with specific follow-up plans.

The blog explains why **UnitedHealthcare (UHC) often denies CPT 99291 critical care claims** for anesthesiology practices—typically due to documentation gaps, time overlaps with anesthesia services, or policy conflicts. It outlines **clear steps to appeal and prevent these denials** through precise time logs, strong medical documentation, policy awareness, and automation tools like Athelas RCM to boost clean claim rates and revenue recovery.

Tracking the right KPIs is essential to proving the ROI of **ambient AI and RCM automation** in specialty practices like cardiology, orthopedics, and oncology. By monitoring metrics such as denial rates, A/R days, and documentation time, practice leaders can quantify efficiency gains, revenue growth, and provider satisfaction to ensure their investment drives lasting impact.

The blog explains how **orthopedic practices can successfully bill Medicare Part B for total hip replacements (CPT 27130)** in 2025 by meeting documentation and medical necessity requirements. It outlines **updated billing tips, common denial fixes, and preventive strategies**—emphasizing proper ICD-10 coding, modifier use, and automation tools like Athelas RCM to maintain high reimbursement rates.

The blog explains how **Cigna CO-197 denials**—often triggered by missing prior authorizations for routine pediatric vaccines like the MMR—can delay reimbursements despite being preventive services covered under federal guidelines. It offers a step-by-step process to **appeal and prevent these denials** through better documentation, eligibility checks, and automation tools like Athelas’ RCM platform.

The blog guides family medicine practices on properly billing **BCBS for CPT 99397**, the preventive visit code for patients 65 and older, highlighting documentation, frequency rules, and common denial fixes. It also emphasizes proactive steps like eligibility checks and EHR templates, with tools like Athelas RCM helping streamline claims and reduce denials.

The blog explains how Aetna CO-197 denials commonly impact radiology claims due to missing or incorrect prior authorizations for advanced imaging like CTs and MRIs, causing payment delays. It offers a clear appeal process and prevention strategies—such as automated auth checks and EHR alerts—to reduce denials and speed reimbursements, highlighting tools like Athelas RCM for efficient management.

For specialty practices like dermatology, urology, and gastroenterology, outdated RCM systems can stall cash flow and burden staff with manual tasks—but **ambient AI** is changing that. By automating documentation, coding, and billing in real time, Athelas’ ambient AI streamlines reimbursements, reduces denials, and gives providers more time to focus on patient care instead of paperwork.

This blog highlights the top five Revenue Cycle Management (RCM) metrics specialty practices should track weekly to optimize financial performance: Days in AR, First Pass Resolution Rate, Clean Claims Rate, Denial Rate, and Net Collection Rate. Each metric is explained with its impact and practical strategies for improvement using automation and AI. By focusing on these key indicators, practices can streamline billing, reduce denials, and enhance revenue without increasing staff.

In 2025, radiology practices face telehealth claim denials for codes like G0406-G0408 due to place of service errors, missing modifiers, or insufficient documentation, though CMS extends flexibilities like no geographic limits through September 30. Common fixes include using POS 10 for home-based services, appending modifier 95 for synchronous telehealth, and ensuring medical necessity is well-documented to avoid CO-197 denials.

In 2025, CMS extends telehealth for anesthesiology through September 30, allowing E/M codes for pain management, while 22 states mandate private payer parity and 31 cover all Medicaid telehealth modalities. Use modifiers 95 or 93, document necessity, and verify payer rules to avoid denials.

In 2025, CMS extends telehealth billing flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), allowing HCPCS code G2025 for non-behavioral services through December 31, with mental health services gaining permanent home-based and audio-only options. Key changes include facility-based requirements for general care post-September 30 and a shift to individual CPT/HCPCS codes for care coordination starting January 1.

Cigna’s CO-197 denials for pediatric MMR vaccine code 90707 often stem from missing prior authorization or documentation gaps, despite CMS’s no-cost-share mandate for ACIP vaccines. To resolve, appeal with CDC-aligned records and verify eligibility upfront. Athelas tools streamline verification and appeals to boost reimbursement and reduce denials.

Keep up with CMS telehealth changes in our quick guide to the July 2025 proposed rule for the CY 2026 Medicare Physician Fee Schedule, tailored for orthopedics. Discover key updates like permanent virtual supervision, extended waivers for rural clinics, and a new payment model for low back pain.

Discover how to master telehealth documentation for virtual foot exams under CPT 73620 in 2025, ensuring smooth reimbursement and quality podiatric care. This guide simplifies logging image reviews, tracking patient progress, and avoiding claim denials with clear, cautious billing practices.

Telehealth is revolutionizing radiology, but strict payer rules can trigger denials for codes like CPT 72100 if documentation falters. This guide offers practical tips to fix and prevent claim errors, ensuring accurate billing and uninterrupted care in 2025.

Anesthesiology practices are embracing telehealth in 2025, but state-specific billing rules can lead to costly denials if mishandled. This guide simplifies navigating regional regulations, POS codes, and documentation to ensure accurate claims and seamless care.

In 2025, telehealth is crucial for rural healthcare, but accurate billing is essential to avoid costly errors. This guide breaks down CPT codes, modifiers, and documentation tips to ensure compliance and seamless care delivery in remote communities.

In July 2025, CMS updated telehealth policies for orthopedics, extending virtual care options and refining surgical follow-up billing through September 30, 2025. Learn how to use Modifier -54 and new code G0559 to streamline claims and avoid denials while keeping patient care seamless.

Struggling with slow payments that tie up your practice’s cash flow? Discover how automation can speed up your billing, reduce errors, and help you get paid faster—without adding extra work.

Denials are rising fast, costing practices time, money, and morale. This article explores how targeted RCM training—paired with smart tech—can help your team prevent denials before they happen and keep revenue flowing.

In 2025, claim denials are cutting deep into revenue for mid-market specialty practices—but AI automation in RCM can reduce them by up to 40%. This article outlines practical steps like using predictive analytics, automating claim scrubbing, and training staff to streamline billing, speed up reimbursements, and improve cash flow without overhauling existing systems.

Predictive analytics is helping mid-market specialty practices improve patient collections by using data to estimate payment likelihood, enabling upfront financial discussions and personalized payment strategies. By integrating these tools with existing systems, practices can boost cash flow, reduce bad debt, and enhance the patient financial experience without compromising trust or care quality.

Athelas products will help Raleigh Orthopaedic streamline clinical and administrative tasks, giving clinicians more time to spend on patient care

We are excited to share that Athelas, powered by Commure, has raised $200 million in growth funding from General Catalyst’s Customer Value Fund (CVF).

Daniel Stewart PT, DPT, explores how AI empowers physical therapists to combat payer pressures, streamline admin tasks, and reclaim precious time for hands-on patient care.

In the wake of the Change Healthcare cybersecurity incident, many healthcare practices are contemplating a significant operational shift — changing their clearinghouse providers. While the idea might seem straightforward, the reality is anything but.

In the wake of the Change Healthcare cybersecurity breach that shook the U.S. healthcare industry on February 21, many medical practices found themselves in an unprecedented predicament. The indefinite suspension of claims submissions infrastructure threatened to halt the vital flow of operations and cash for countless healthcare providers. Understanding that timely delivery of services can significantly impact patient outcomes and financial stability, Athelas RCM has steadfastly embraced a guiding principle: “Speed above all else.”

Following a cyberattack on Change Healthcare that disrupted critical IT infrastructure, an urgent care practice faced significant operational challenges, with 1,310 insurance claims worth $523K stalled. Athelas's swift implementation of a tailored Revenue Cycle Management (RCM) solution, leveraging multiple submission channels and seamless integration with the practice's EHR system, quickly restored the clinic's cash flow and operational stability, showcasing the importance of resilient healthcare collaborations in crisis situations.

The recent Change Healthcare/UnitedHealthcare incident has led to an indefinite suspension of claims submissions infrastructure across U.S. medical practices. However, Athelas is prepared to help.

Discover how Greater Los Angeles Orthopedics bolstered their position as a longtime leader in community care by automating their revenue cycle with Athelas RCM.

Discover how Meier & Marsh Professional Therapies, a provider-owned practice, was able to increase revenue and the overall financial health of their business in just months with Athelas RCM.

We are beyond excited to share that Athelas and Commure - a leading provider of enterprise healthcare software - are merging to create a $6B healthcare infrastructure company!

Through Athelas Smart Pay the providers and health systems can collect from patients at scale with ease.

Find out what happened when an insurance company stopped responding to Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA) submission requests by new billers for healthcare practices.

Athelas Insights is our proprietary, state of the art analytics tool that allows providers to understand the health of their practice in 30 seconds or less. You have direct insights and recommendations into how to generate more revenue.

What is healthcare Revenue Cycle Management, how it works, and key benchmarks.

The common Remote Patient Monitoring Billing Codes and how to use them.

Third-party revenue cycle management (RCM) companies are in demand as healthcare providers look to outsource efforts to experts that can streamline billing operations.

A compilation of the top revenue cycle management companies to consider for your practice.

Confused about CPT codes 99202–99205 for new patient visits? This guide breaks down how Medical Decision Making (MDM)—not time—determines the right code. Learn why 99204 is most commonly used, how to document correctly, and what changes from insurers like Cigna could mean for your practice. Stay compliant, accurate, and audit-ready.

This post explains RARC M51 as a remark code indicating missing, incomplete, or invalid procedure codes like CPT or HCPCS, often paired with CARC 16, causing claim denials. It provides CMS-guided steps to fix denials by validating and resubmitting codes, alongside preventive tips like using updated HCPCS lists and billing software to ensure clean claims.

Medicare’s 2025 rules extend key telehealth flexibilities for pediatric care—allowing home-based and audio-only visits, caregiver training, and virtual supervision through December 31. These updates improve access for eligible children, but many benefits may end in 2026 without further action.

The blog explains CARC 16 as a denial code for claims missing key details like codes or provider info, often paired with RARCs like N265. It offers CMS-guided steps to correct and resubmit claims, plus prevention tips like pre-submission checks to minimize denials.

Learn how to confidently bill CPT 99214 for telehealth in 2025. This guide breaks down Medicare rules, time tracking tips, documentation musts, and upcoming policy changes—all tailored for internal medicine practices navigating virtual care.

Understanding the correct use of POS 11 (Office) and POS 02 (Telehealth) is essential in radiology billing. These codes affect reimbursement rates and depend on where services are performed—whether in-office or remotely. Accurate documentation, proper use of modifiers, and aligning TC/PC components help prevent denials and ensure full payment.

You’re 45 miles from the nearest hospital, seeing a frail elder in a remote clinic. The visit takes 50 minutes, covers 3 active problems, and changes 4 meds. That’s CPT 99306—but only if your note proves it.

CARC 45 signals a charge exceeding the payer's fee schedule or contract, offering steps to appeal denials and tips to prevent them using CMS resources. This blog emphasizes reviewing contracts, checking coding errors, and using billing tools to align charges and avoid future denials.

Group visits can boost access and efficiency in rural and community clinics—but billing them correctly is complex. This guide focuses on how to accurately use CPT 99306 in shared visit scenarios, covering documentation tips, prolonged service add-ons, and 2025 updates impacting RHCs and FQHCs. Learn how to ensure compliance, avoid denials, and get properly reimbursed for individualized care—even in a group setting.

CPT 99406 empowers family medicine providers to deliver brief, impactful tobacco cessation counseling—and get reimbursed for it. This post explores how to use the code effectively during preventive visits, outlines documentation musts, explains billing with E/M codes, and highlights payer rules to help avoid denials while improving patient outcomes.

CPT 99358 lets rural providers bill for prolonged, non-face-to-face care like record reviews or care coordination tied to separate E/M visits. Though not covered by Medicare, some commercial payers reimburse it if time and medical necessity are well documented. This post explains how to use 99358 effectively in rural health settings under 2025 guidelines.

Billing CPT 99291 in anesthesiology isn’t just about time — it’s about precision. This guide walks you through time-based rules, high-stakes OR scenarios, and payer-specific reimbursement tips to ensure accurate coding, strong documentation, and full revenue capture for critical care services. Perfect for anesthesiologists managing emergencies and navigating complex billing requirements.

Getting CPT 99221–99223 right is critical for internal medicine providers handling initial inpatient or observation admissions. This guide breaks down how to choose codes based on complexity or time, highlights key documentation must-haves, and clarifies how these inpatient E/M codes differ from outpatient visits—helping you avoid denials and ensure accurate billing from day one.

CPT 95921 is key to evaluating cardiovagal function in patients with suspected dysautonomia, but billing it correctly requires more than just running the test. This article breaks down medical necessity criteria, documentation must-haves, and common payer pitfalls—helping internal medicine providers navigate compliance, avoid denials, and ensure accurate reimbursement for autonomic function testing.

CPT 76942 is essential for ultrasound-guided needle placement, but proper billing can be tricky. This article covers key documentation must-haves, how different payers treat this code, and smart strategies for handling denials and appeals—helping providers maximize reimbursement while staying compliant.

Billing for CT scans without contrast? CPT 74176 is essential for accurate, compliant imaging claims—especially in emergency and outpatient settings. This post breaks down key documentation requirements, payer policy updates for 2025, and top denial prevention strategies to help radiology practices get paid faster while staying audit-ready.

This blog breaks it down when to use CPT 73600 vs. 73610 for ankle X-rays—covering view counts, modifier use (-26, -TC, -50, and more), and Medicare-specific documentation rules. Learn how to choose the right code, avoid denials, and ensure compliant, accurate billing in podiatric radiology.

Struggling with denials for CPT 29881 knee arthroscopies? Learn how to bill correctly for medial or lateral meniscectomies by mastering documentation, time tracking, and code combinations. This essential orthopedic billing guide covers equipment details, NCCI bundling rules, and audit-proof practices to help your claims get paid—fast and accurately.

CPT 01967 is vital for billing neuraxial labor analgesia—but navigating time-based billing, documentation rules, and payer policies can be tricky. This blog post breaks down how to differentiate it from general anesthesia codes, ensure medical necessity, and use appeal strategies that work in 2025. Perfect for anesthesiology teams looking to reduce denials and improve obstetric billing accuracy.

Navigating the complexities of CPT 27134 — revision of both components of a total hip arthroplasty — requires more than just clinical expertise. This essential guide breaks down key coding strategies, modifier use, bundling rules, and denial prevention tips to help orthopedic practices maximize reimbursement and avoid costly errors. Whether you're billing for challenging implant removals or managing global period claims, this article ensures you're equipped for clean, compliant submissions.

This post highlights key 2025 Medicare telehealth updates affecting family medicine, including extended flexibilities, new virtual services, and important deadlines. Learn how to optimize care now and prepare for policy changes ahead.

CARC 197 denials happen when required prior authorizations are missing, delaying payments and causing frustration. This article explains what triggers them, gives real-world examples, and shares simple, CMS-based strategies to prevent them—like checking updated PA lists, submitting early, using modifiers, and training staff to catch issues upfront.

This blog discusses how podiatrists cannot bill ophthalmic codes like the obsolete CPT 0191T and provides strategies to avoid claim denials using current codes and proper documentation.

Discover how remote patient monitoring helped four patients take proactive and preventative action in their own care journeys.

We are beyond excited to share that Athelas and Commure - a leading provider of enterprise healthcare software - are merging to create a $6B healthcare infrastructure company!

Let’s take a look at the 7 Best Remote Patient Monitoring companies you may want to consider for your practice.

The common Remote Patient Monitoring Billing Codes and how to use them.

Discover how remote patient monitoring helped four patients take proactive and preventative action in their own care journeys.

We are beyond excited to share that Athelas and Commure - a leading provider of enterprise healthcare software - are merging to create a $6B healthcare infrastructure company!

We follow a patient whose at-home blood pressure monitoring helped catch his 'crisis range' hypertension before matters took a turn for the worst.

This week, we profile a Congestive Heart Failure case flagged by our Athelas Weight Scale and escalated by nurse Devin Park.

Discover why unified AI solutions beat fragmented systems for physician practices, improving efficiency and reducing admin burdens, with Athelas.

Explore strategic healthcare insights on resilience and opportunities amid macroeconomic and geopolitical uncertainty with Athelas. Take a look.

Chicago-based GI Partners of Illinois has announced a partnership with Athelas to implement its AI-powered RCM services.