The American Medical Association (AMA) and nearly 100 other organizations are backing legislation that aims to force payers to comply with independent dispute resolution (IDR) payment determination rules. This unified...
Read More-->
The Latest News, At Your Fingertips
You're in the know
Our Weekly Newsletters
8 questions to ask before renewing a payer contract
In the complex world of healthcare, practice revenue can quietly erode over time due to hidden pitfalls in payer contracts. Auto-renewal clauses, outdated fee schedules, and overlooked contract terms can...
Read More-->
Why specialty-specific revenue cycle management is no longer optional
For many years, independent practices relied on clinical excellence and well-run operations to maintain financial stability. This combination allowed them to provide high-quality patient care while also keeping their businesses...
Read More-->
Why Substance Abuse Treatment Centers Are Losing Revenue to Billing Errors
The substance abuse treatment industry in the United States is projected to be worth over $31.4 billion by 2026. With more than 17,000 licensed facilities, millions of Americans affected by...
Read More-->
CMS-4208-F Explained: How MA Plans Are Shifting Pressure to Hospitals
As we delve deeper into the analysis of the proposed rule changes from the Centers for Medicare & Medicaid Services (CMS), many hospitals continue to struggle with the unintended effects...
Read More-->
How Medicare’s fee schedule shapes what practices get paid
Understanding how physicians are paid is a crucial part of running a successful medical practice, yet many administrators focus solely on the reimbursement checks from insurers without truly understanding how...
Read More-->
CMS-0053-F Final Rule 2026: A New Era of Electronic Claims Attachments
On March 20, 2026, the Centers for Medicare & Medicaid Services (CMS) finalized the Administrative Simplification; Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures Final Rule...
Read More-->
6 Hidden Medicare Billing Opportunities Small Practices Are Missing (2026 Guide)
Introduction Many small medical practices are losing thousands of dollars in Medicare reimbursements each month—not because they lack eligible patients, but because their billing systems have not evolved alongside the...
Read More-->
How Coding Guidelines Operate Across Two Controlling Systems?
In today’s healthcare environment, clinical documentation is shaped by two distinct—and often competing—governing systems, leading to growing ICD-10 documentation conflicts. The first is the regulatory framework established through federal law,...
Read More-->
Best Medical Billing Approaches for Managing Complex Insurance Claims in 2026
Healthcare organizations across the world are facing increasing pressure to manage complicated insurance claims while maintaining steady revenue flow. In 2026, medical billing teams are dealing with a rapidly evolving...
Read More-->Fill Out the Form to Begin Your Free Trial.
x