Practice Management
Credentialing Compliance Guide for Medical Billing Teams
Credentialing compliance protects payer enrollment, NPI accuracy, claim submission, and payment timing.
Read article →
MMBS Billing Author
Dr. Marcus Cole, CPC, COC
Senior Medical Billing Analyst · 15+ years
Dr. Marcus Cole is a CPC and COC-certified medical billing specialist with 15+ years of experience in data-driven billing analysis and CMS policy research. He specializes in Medicare Part B reimbursement, E/M coding audits, and revenue cycle optimization for physician practices. Marcus holds active AAPC certifications and contributes to MMBS billing compliance research and CPT code documentation standards.
Credentials:
CPC
COC
Articles by Dr. Marcus Cole, CPC, COC
Medical billing guides, code references, and compliance articles authored by Dr. Marcus Cole, CPC, COC.
Compliance
MIPS and MACRA Quality Reporting for Medical Billing Teams
MIPS and MACRA reporting connects quality data, Medicare Part B billing, documentation, and revenue cycle performance.
Read article →
Coding Tips
CPT Code 99203: New Patient Office Visit Billing Guide, Low MDM Documentation, and CMS Reimbursement for 2026
CPT 99203 covers new patient office visits requiring low-complexity medical decision-making or 30-44 minutes of total time. Learn 2026 CMS reimbursement rates, documentation requirements, and how MMBS billers prevent common claim denials.
Read article →
Practice Management
What Is Medical Credentialing? Provider Enrollment Process, CAQH Profile, and Payer Timelines Explained
Medical credentialing verifies provider qualifications with payers and accreditation bodies. Learn how CAQH, PECOS, and NPI enrollment work and what timelines to expect.
Read article →
Coding Tips
CPT Code 99214: Established Patient Office Visit Billing Guide, Documentation Requirements, and CMS Reimbursement
CPT 99214 is the most audited outpatient E/M code. Learn what moderate MDM requires, how to document time correctly, and what CMS pays under the 2021 guidelines.
Read article →
Looking for billing help in your specialty?
Talk to a billing specialist about reducing denials, cleaning up your claim workflow, and improving collections for your practice.
Get Your Free Assessment