https://sterlingglobalsolution.com/blog.html Practical writing on medical billing, denial management, RCM benchmarks and compliance from Sterling Global Solution LLC. en-us Mon, 31 Aug 2026 09:00:00 +0000 https://sterlingglobalsolution.com/2026-medical-billing-benchmark-report.html https://sterlingglobalsolution.com/2026-medical-billing-benchmark-report.html Mon, 31 Aug 2026 09:00:00 +0000 Four industry benchmarks every independent practice should know: the 2025 hospital denial rate, the AMA 2025 prior-authorization survey, the HFMA clean claim rate standard, and MGMA days in A/R. Fully sourced, published August 2026. https://sterlingglobalsolution.com/post-orthopedics-denials-rcm.html https://sterlingglobalsolution.com/post-orthopedics-denials-rcm.html Mon, 31 Aug 2026 09:00:00 +0000 The orthopedic denials that quietly drain revenue, laterality modifiers, global-period edits, NCCI bundling, prior authorization, and how a dedicated RCM partner brings them down. https://sterlingglobalsolution.com/post-obgyn-denials-rcm.html https://sterlingglobalsolution.com/post-obgyn-denials-rcm.html Mon, 31 Aug 2026 09:00:00 +0000 The OB-GYN denials that add up, global maternity miscoding, modifier 25 on well-woman visits, bundled ultrasounds, global surgical periods, prior authorization, and how an RCM partner reduces them. https://sterlingglobalsolution.com/post-behavioral-health-2026-code-changes.html https://sterlingglobalsolution.com/post-behavioral-health-2026-code-changes.html Sat, 25 Jul 2026 09:00:00 +0000 CMS finalized new CoCM add-on codes (G0568, G0569, G0570) in the CY 2026 Physician Fee Schedule. What behavioral health practices need to check in their billing now. https://sterlingglobalsolution.com/post-cardiology-echo-billing.html https://sterlingglobalsolution.com/post-cardiology-echo-billing.html Fri, 21 Aug 2026 09:00:00 +0000 Complete, limited, and follow-up echocardiograms use three different CPT codes. Billing the wrong one is one of the fastest ways to trigger a payer audit. https://sterlingglobalsolution.com/post-cardiology-cath-bundling.html https://sterlingglobalsolution.com/post-cardiology-cath-bundling.html Sat, 22 Aug 2026 09:00:00 +0000 Cardiac cath lab codes bundle aggressively under NCCI. Here's what's genuinely separately payable, and where modifier 59/XS gets misused. https://sterlingglobalsolution.com/post-fertility-fet-billing.html https://sterlingglobalsolution.com/post-fertility-fet-billing.html Sun, 23 Aug 2026 09:00:00 +0000 Fresh and frozen embryo transfers use two different CPT codes. Billing 58974 for a frozen cycle is one of the fastest ways to get a claim flagged. https://sterlingglobalsolution.com/post-behavioral-health-psychotherapy-addon.html https://sterlingglobalsolution.com/post-behavioral-health-psychotherapy-addon.html Mon, 24 Aug 2026 09:00:00 +0000 The psychotherapy add-on codes require two separately documented services, and the time split is stricter than most practices realize. https://sterlingglobalsolution.com/post-obgyn-global-maternity-billing.html https://sterlingglobalsolution.com/post-obgyn-global-maternity-billing.html Tue, 25 Aug 2026 09:00:00 +0000 The global maternity package looks simple until a patient switches providers mid-pregnancy or needs a service outside routine prenatal care. https://sterlingglobalsolution.com/post-prior-authorization-fix.html https://sterlingglobalsolution.com/post-prior-authorization-fix.html Wed, 08 Jul 2026 09:00:00 +0000 Prior Authorization Is Broken. Here's How to Actually Fix It, by Mukesh Makwana, Sterling Global Solution. https://sterlingglobalsolution.com/post-in-house-vs-outsourced-billing.html https://sterlingglobalsolution.com/post-in-house-vs-outsourced-billing.html Thu, 18 Jun 2026 09:00:00 +0000 In-House vs Outsourced Billing: An Honest Cost Breakdown, by Mukesh Makwana, Sterling Global Solution. https://sterlingglobalsolution.com/post-hipaa-ai-billing-vendor-checklist.html https://sterlingglobalsolution.com/post-hipaa-ai-billing-vendor-checklist.html Thu, 21 May 2026 09:00:00 +0000 HIPAA + AI: What Your Billing Partner Must Be Able to Prove, by Mukesh Makwana, Sterling Global Solution. https://sterlingglobalsolution.com/post-reducing-days-in-ar.html https://sterlingglobalsolution.com/post-reducing-days-in-ar.html Wed, 15 Apr 2026 09:00:00 +0000 Cutting Days in AR From 45 to 22: A Practical Playbook, by Mukesh Makwana, Sterling Global Solution. https://sterlingglobalsolution.com/post-how-ai-predicts-denials.html https://sterlingglobalsolution.com/post-how-ai-predicts-denials.html Fri, 20 Feb 2026 09:00:00 +0000 How AI Predicts a Denial Before You Submit, by Mukesh Makwana, Sterling Global Solution. https://sterlingglobalsolution.com/post-real-cost-of-denied-claim.html https://sterlingglobalsolution.com/post-real-cost-of-denied-claim.html Fri, 16 Jan 2026 09:00:00 +0000 The Real Cost of a Denied Claim (It's Not $25), by Mukesh Makwana, Sterling Global Solution. https://sterlingglobalsolution.com/post-clean-claim-rate-below-85.html https://sterlingglobalsolution.com/post-clean-claim-rate-below-85.html Fri, 12 Dec 2025 09:00:00 +0000 7 Reasons Your Clean Claim Rate Is Stuck Below 85%, by Mukesh Makwana, Sterling Global Solution. https://sterlingglobalsolution.com/post-ivf-billing-codes-explained.html https://sterlingglobalsolution.com/post-ivf-billing-codes-explained.html Sat, 25 Jul 2026 09:00:00 +0000 IVF ART cycle billing explained: CPT 58970-58976, lab codes 89250-89280, and the global period rules that cause fertility clinics to underbill. https://sterlingglobalsolution.com/post-cardiology-tc26-modifier-errors.html https://sterlingglobalsolution.com/post-cardiology-tc26-modifier-errors.html Sat, 25 Jul 2026 09:00:00 +0000 TC/26 split billing errors on echoes, stress tests, and nuclear studies are one of the most common cardiology denial causes. Here's how the modifier actually works. https://sterlingglobalsolution.com/post-behavioral-health-prior-auth-2026.html https://sterlingglobalsolution.com/post-behavioral-health-prior-auth-2026.html Sat, 25 Jul 2026 09:00:00 +0000 AMA's latest physician survey shows prior authorization delays care for 93% of physicians. Here's what that means specifically for behavioral health billing. https://sterlingglobalsolution.com/post-fertility-benefit-manager-billing.html https://sterlingglobalsolution.com/post-fertility-benefit-manager-billing.html Sat, 25 Jul 2026 09:00:00 +0000 Progyny, Maven, and WINFertility each run separate authorization and claims workflows from standard commercial insurance. Here's what fertility clinics need to track. https://sterlingglobalsolution.com/post-cardiology-rpm-billing-compliance.html https://sterlingglobalsolution.com/post-cardiology-rpm-billing-compliance.html Sat, 25 Jul 2026 09:00:00 +0000 Cardiac remote patient monitoring billing under CPT 93294-93299 requires specific data-transmission windows. Here's what gets these claims denied.