TriumpHealth

11/18/2025

HCFA 1500 vs. UB-04 for Ambulatory Surgery Centers (ASCs)

📄 Do you know when your ASC should bill using a HCFA-1500 vs. a UB-04?

Our latest guide explains:
✔️ Key differences between the two claim forms
✔️ Billing scenarios for each form
✔️ How incorrect claim types delay reimbursement

👉 Read more:
https://triumphealth.com/ambulatory-surgery-centers-ascs/hcfa-1500-vs-ub04-when-to-bill-each-for-your-ambulatory-surgery-center-asc/

Learn when Ambulatory Surgery Centers should bill using the HCFA 1500 vs the UB04 claim form. Understand payer rules, facility vs professional billing, and avoid costly denials.

10/09/2025

🩹 Wound care billing can be complex — especially for skin grafts and substitutes.

This guide helps providers:
✔️ Avoid costly billing errors
✔️ Understand coding rules
✔️ Optimize reimbursement

👉 Read more: https://triumphealth.com/healthcare-facilities/wound-care-billing-getting-skin-grafts-and-substitutes-right/

Master wound care billing with confidence. Learn how to correctly code and bill for skin grafts and substitutes to avoid denials, maximize reimbursement, and ensure compliance.

10/07/2025

❓ What does it mean to be a non-participating Medicare provider?

In our latest blog, we explain:
✔️ How reimbursement rates differ
✔️ What patients are responsible for
✔️ Compliance considerations for practices

👉 Read more: https://triumphealth.com/solutions/provider-credentialing/medicare-medicaid-credentialing/non-participating-medicare-providers-what-healthcare-practices-need-to-know/

Understand what it means to be a non-participating (non-par) Medicare provider. Learn about enrollment, reimbursement, balance billing, limiting charges, and how non-par status differs from opt-out.

10/02/2025

🏥 Thinking about billing independently?

Physicians, NPs, and PAs can bill on their own — but only if they follow the rules.

This guide breaks down:
✔️ Payer and credentialing requirements
✔️ Key compliance risks
✔️ Steps to bill successfully

👉 Read more: https://triumphealth.com/independent-billing-a-guide-for-physicians-nps-and-pas/

Understand the key differences between independent billing for Nurse Practitioners (NPs) and Physician Assistants (PAs). Learn compliance requirements, reimbursement rates, and which option may best fit your practice—with real-life examples.

09/30/2025

💻 No certified EHR? You can still stay MIPS compliant in 2025.

In this blog, learn how to:

✔️ Report without a certified EHR
✔️ Avoid penalties under new rules
✔️ Choose the best reporting pathway

👉 Read more: https://triumphealth.com/solutions/mips-compliance-consulting/mips-reporting-2025-how-to-stay-compliant-without-an-ehr/

09/25/2025

Market closed? Don’t stop there.

Single Case Agreements (SCAs) can bridge the gap, ensuring your patients still get care.

We explain how SCAs help providers:

✔️ Navigate payer market closures
✔️ Maintain access to patient care
✔️ Support credentialing efforts

👉 Read more: https://triumphealth.com/solutions/provider-credentialing/navigating-market-closures-how-single-case-agreements-support-provider-credentialing/

Learn how Single Case Agreements (SCAs) can support provider credentialing during market closures. This guide explains how SCAs help maintain network access and ensure continuity of care.

09/23/2025

📋 Locum tenens or temporary providers in your practice?

Billing them correctly under an established practice is key to keeping revenue flowing.

In our latest blog, we cover:

✔️ How to bill temporary providers
✔️ Compliance considerations
✔️ Tips to avoid reimbursement delays

👉 Read more: https://triumphealth.com/solutions/provider-credentialing/how-locum-tenens-and-temporary-providers-can-bill-under-an-established-independent-practice/

Learn how locum tenens and temporary providers can correctly bill under an established independent practice. This guide covers Medicare rules, compliance tips, and key documentation strategies.

09/11/2025

📑 CAQH Attestations Missed Again?

For healthcare systems managing dozens (or hundreds) of providers, one small credentialing error, a missed CAQH update, an expired license, or incomplete documentation, can cause months of reimbursement delays.

In our latest blog, we break down how to:
✔️ Streamline CAQH updates
✔️ Automate provider documentation tracking
✔️ Keep revenue flowing while staying audit-ready

Credentialing doesn’t have to be a headache. We make it simple.

🔗 Read more: https://triumphealth.com/solutions/provider-credentialing/provider-credentialing-made-easy-solving-caqh-documentation-challenges-for-healthcare-systems/

Struggling with provider credentialing and CAQH profile maintenance? Learn how large healthcare and mental health organizations can overcome documentation challenges, reduce delays, and ensure compliance with payer requirements.

09/09/2025

💉 Plastic surgeons — are you leaving money on the table?

An in-office OR limits you to professional fees only. But an accredited ASC (Ambulatory Surgery Center)? That unlocks both professional + facility fees—significantly increasing revenue and growth potential.

Our complete guide walks you through:
✔️ Setting up your entity
✔️ Licensure & accreditation (AAAHC, TJC, etc.)
✔️ Payer contracting for ASCs

If you’ve ever considered upgrading your OR into an ASC, this is your roadmap. 🚀

📖 Read here: https://triumphealth.com/solutions/multiple-specialties-billing/plastic-surgery/converting-your-plastic-surgery-or-into-an-accredited-asc-a-complete-guide-for-surgeons/

Learn how plastic surgeons can convert their in-office OR into an accredited Ambulatory Surgery Center (ASC). Explore licensing, Medicare certification, accreditation, business setup, and payer contracting steps to maximize reimbursement.

09/04/2025

One wrong code can cost your practice thousands.

Spinal surgery coding is filled with gray areas, CPT pitfalls, and payer scrutiny. Whether it’s CPT 63047 vs. 62380 or handling bundled procedures, accuracy is non-negotiable.

In our new blog, we highlight best practices to optimize spinal surgery coding, boost compliance, and ensure your team gets full reimbursement.

💡 Spine surgeons & coders — don’t let mistakes leave money on the table.

Learn how to code smarter: https://triumphealth.com/solutions/multiple-specialties-billing-orthopedic-surgery/optimizing-spinal-surgery-coding-best-practices-for-accuracy-and-reimbursement/

Explore spinal surgery coding guidelines for 2025, understand the controversy around CPT 62380, and get expert tips on accurate, compliant coding for spinal procedures.

09/02/2025

Bariatric Surgery: Invasive vs. Non-Invasive — and the Credentialing That Follows

From lap bands to endoscopic procedures, bariatric care isn’t just about outcomes, it’s about getting reimbursed properly. Too often, practices lose revenue because credentialing applications aren’t filed correctly or billing doesn’t reflect the procedure type.

Our latest guide breaks down the credentialing and billing differences between invasive and non-invasive bariatric procedures—and how to avoid costly delays.

👉 If you’re a bariatric surgeon or practice manager, this is a must-read: https://triumphealth.com/solutions/provider-credentialing/credentialing-and-billing-for-bariatric-surgeons-invasive-vs-non-invasive-procedures/

Learn how credentialing and billing requirements differ for invasive vs. non-invasive bariatric procedures. Guide for bariatric surgeons and GI specialists offering weight loss services.

08/27/2025

🧾 Revenue Cycle Management feeling overwhelming? You’re not alone.

Our RCM FAQ is your go‑to guide for navigating the full billing lifecycle—from claims submission and denial prevention to coding accuracy and cash-flow optimization.

Want to reduce denials, accelerate reimbursements, and maximize revenue? This guide has answers.

Whether it's charge entry, denial appeals, or patient statements—you’ll find clarity.

🔗 https://triumphealth.com/revenue-cycle-management-faq/