Out-of-Network PPO Patients & The No Surprises Act: The Only Guide You Need Out-of-Network PPO Patients & The No Surprises Act Insurance billing is about as fun as dental work without anesthesia. Out-of-network (OON) PPO benefits? Even murkier. Luckily, federal law—the No Surprises Act (NSA)—finally tilts the scale in your favor (sometimes). This guide lays […]

CC Services QA: Your No-Nonsense Guide to Payer Contracting Where Do I Start? Let’s start with your strategy. We have to decide who you want to get in-network with and why! Should I Take Medicare? Medicare is a major government payer serving largely the 65+ age range. So, if you’re serving a population even partially […]

What is Patient Liability: A Complete Guide For Patients, Providers, and Planners If you’ve ever looked at a medical bill and wondered why you still owe money, even after your insurance or Medicaid paid their part, you’re dealing with patient liability. This is a term that comes up a lot in healthcare, but it’s not […]

Dermatology Medical Billing and Coding: A Complete Guide Dermatology medical billing and coding can feel like a headache, especially with all the codes, modifiers, and insurance rules involved.  If you’re a dermatologist, practice manager, or biller, getting this process right is key to getting paid on time and avoiding claim rejections. At The Auctus Group, […]

Modifier 25 vs 59: What’s the Difference If you’ve ever been unsure about when to use Modifier 25 or Modifier 59 in your medical billing, you’re not alone.  These two CPT modifiers are often misunderstood, but getting them right is critical.  Using the wrong one can lead to denied claims, lost revenue, or even audit […]

Choosing the Right EMR for Your Plastic Surgery Practice in 2025 As the aesthetics and plastic surgery space evolves, so must your technology. From mobile-first documentation to all-in-one quoting and billing platforms, practices now have more options than ever to streamline operations and enhance the patient experience. At The Auctus Group, we cut through the […]

Billing: Where Revenue Dreams Live or Die Let’s be honest: billing isn’t sexy. But if you want your practice to run like a Swiss watch — predictable, efficient, and profitable — your billing office better run tighter than TSA security. At Auctus, we see it every day: practices leaving six figures on the table because […]

Train for Transparent Pricing: Techniques That Actually Work Let’s be brutally honest… If your staff still answers pricing questions with a shrug and a prayer, your “transparency” is just fancy smoke and mirrors. Patients aren’t here for the mystery novel – they want a clear answer, not a billing scavenger hunt. Transparent pricing isn’t optional […]

Medical Billing Transparency: 3 Tools That Don’t Suck Let’s address the giant, overpriced elephant in the waiting room: medical billing is still a hot mess. Patients are confused. Providers are over it. And staff? They’re playing daily roulette with CPT codes and praying the insurance gods show mercy. But plot twist: it doesn’t have to […]

CPT 17004: When and How to Use It If you’re here to figure out how to bill CPT 17004 correctly, you’re in the right place.  Whether you’re a dermatologist, billing specialist, or practice manager, this guide will walk you through what this code means, when to use it, and how to avoid common billing mistakes.  […]