Credentialing & Enrollment
Did You Get That Medicaid Letter Too?
Why providers are being asked to reattest and revalidate their enrollment — and why the Treasury Department is suddenly involved.
Insights & Resources
The Provider Partner Blog
Practical guidance on revenue cycle, coding, compliance, and the business of healthcare.
Credentialing & Enrollment
You Created Your CAQH Profile. So Why Do You Need to Keep It Updated?
And does anyone actually use it anyway? Why an up-to-date CAQH profile is one of the most important — and most overlooked — drivers of clean credentialing and on-time payment.
Medical Coding & Compliance
Modifier 25 vs. Modifier 57: Understanding the Difference Could Save Your Practice Thousands
One of the most common coding mistakes in physician billing. Both modifiers separate an E/M from a procedure — but using the wrong one invites denials and audits. Here's how to tell them apart.
Medical Coding & Compliance
The Post-Op Myth: Is Everything Included in the Surgery?
One of the most misunderstood areas of surgical billing. Not every encounter during the global period is included in the surgery — here is how to tell routine recovery from a separately billable service.
Revenue Cycle Management
Is Your Billing Company Just Hitting the Resubmit Button?
Reworking and resubmitting denied claims isn't the same as solving the problem. Here's how to tell whether your billing partner is fixing root causes — and how to hold them accountable.
Uncategorized
How to Identify Hidden Operational Inefficiencies That Drain Your Practice
Running a medical practice is a balancing act. Between patient care, staffing, billing, and compliance, it’s easy to overlook operational details that quietly erode your bottom line. These hidden inefficiencies don’t just waste time, they can cause revenue leakage, reduce reimbursements, and increase compliance risks.
Business Tips
From Startup to Solvent: The 5 Essentials Every New Practice Must Get Right
Starting a medical practice is exciting—but the wrong foundation can cost you time, money, and momentum. In this post, The Provider Partner breaks down the five essentials every startup must get right to go from launch to long-term success—with real-world tips on credentialing, billing, compliance, and more.
Business Tips
Avoiding the Penalty Trap: How Proactive Compliance Audits Save You Money June 2025
In healthcare, even minor compliance mistakes can lead to major financial penalties and operational setbacks. This article explores how proactive audits can uncover hidden risks, prevent costly errors, and create a culture of compliance that protects your bottom line. Learn why staying ahead of regulations isn’t just smart—it’s essential for long-term success.
Business Tips
What Every New Medical Practice Should Know About Revenue Leakage
Starting a new medical practice comes with many moving parts—and hidden financial risks. This article breaks down the most common causes of early-stage revenue leakage, from poor payer contracts to inefficient billing systems, and outlines five practical strategies to protect your income from day one. Whether you’re launching your first practice or refining your approach, these insights can help you build a stronger, more financially sound foundation.