TriumpHealth

12/15/2025

Are your payer contracts costing your practice revenue without you realizing it?

In our latest blog, we break down the key terms and negotiation strategies every healthcare organization should understand, including:
✔️ Critical contract language that impacts reimbursement
✔️ How to negotiate stronger rates
✔️ What to watch for in renewals and amendments

👉 Read more: https://triumphealth.com/payer-contract-negotiations-key-terms-strategies-triumphealth/

Discover essential terms, strategies, and best practices for successful payer contract negotiations. Learn how TriumpHealth helps healthcare organizations secure stronger reimbursement rates, reduce financial risk, and maximize revenue.

12/11/2025

Why Taxonomy Codes Matter in Credentialing & Billing

Did you know your taxonomy code can directly impact your credentialing and reimbursement?

In our latest blog, we break down:
✔️ Why taxonomy codes matter for payer enrollment
✔️ How incorrect codes delay credentialing
✔️ How taxonomy impacts billing accuracy and claim approvals

👉 Read more: https://triumphealth.com/why-taxonomy-codes-matter-in-provider-credentialing-medical-billing/

Learn how taxonomy codes impact provider credentialing, payer enrollment, and claim reimbursements. Discover why accurate taxonomy selection is critical for healthcare compliance and revenue integrity.

12/08/2025

Transitioning Credentialing When Leaving or Joining an ACO

Is your provider leaving or joining an ACO? Credentialing transitions can get complicated fast.

In this new guide, we explain:
✔️ How to properly transition payer contracts
✔️ What changes based on the ACO’s structure
✔️ Compliance risks to avoid during the transition

👉 Read more: https://triumphealth.com/how-to-transition-provider-credentialing-when-leaving-or-joining-an-aco/

Learn how to smoothly transition provider credentialing when leaving or joining an Accountable Care Organization (ACO). Discover key steps, best practices, and compliance tips to ensure uninterrupted enrollment and payer relationships.

12/04/2025

Medicare Enrollment Requirements for Providers & DME Suppliers

📄 Medicare enrollment rules are different for healthcare providers, group practices, and DME suppliers.

This blog covers:
✔️ Key CMS enrollment requirements
✔️ How DMEPOS accreditation works
✔️ What causes application delays and denials

👉 Read more:
https://triumphealth.com/durable-medical-equipment-dme/medicare-enrollment-requirements-for-healthcare-providers-dme-suppliers/

Learn the essential Medicare enrollment requirements for individual providers, group practices, facilities, and DMEPOS suppliers. Understand physical address rules, site visits, and practical tips for compliance.

12/01/2025

Mobile Wound Care Credentialing & Billing

🚑 Mobile wound care providers face unique challenges when it comes to credentialing and billing.

In this article, we outline:
✔️ How licensing and site requirements differ
✔️ Common billing errors that cause denials
✔️ Payer policies specific to mobile wound care

👉 Read more:
https://triumphealth.com/medical-providers/mobile-wound-care-credentialing-and-billing-what-providers-need-to-know/

Discover essential credentialing and billing guidelines for mobile wound care providers. Learn how to stay compliant, streamline billing, and ensure payer approval for mobile services.

11/25/2025

2025 MIPS Reporting Challenges: Tough Measures Explained

📊 2025 MIPS changes are bringing stricter thresholds and tougher reporting requirements.

In this breakdown, we discuss:
✔️ New 2025 MIPS measures
✔️ Increased data completeness standards
✔️ Biggest challenges practices should prepare for now

👉 Read more:
https://triumphealth.com/solutions/mips-compliance-consulting/2025-mips-reporting-challenges-tough-measures-explained/

Discover the toughest MIPS measures to report in 2025. Learn about benchmark changes, new and removed measures, compliance risks, and strategies to maximize your MIPS score with 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.