A significant change is looming in the world of healthcare reimbursement. In a proposal set to take effect in 2027, a major government healthcare program plans to alter how medical practices are paid when an office visit and a procedure occur on the same day. This proposal has sparked considerable concern within the medical community, […]
As the healthcare industry looks toward 2027, medical practices are encountering significant financial uncertainty. This is due to a temporary Medicare pay raise, a new efficiency adjustment, and stalled progress in legislative solutions. The fleeting nature of the pay bump, combined with ongoing cuts and the lack of a permanent fix, is causing concern among […]
Introduction In the intricate world of medical billing, accuracy and compliance are non-negotiable. One critical, often-overlooked aspect that directly affects reimbursement and revenue cycle management is the use of modifiers. These seemingly small two-character codes appended to CPT or HCPCS codes play a pivotal role in clarifying how, why, and by whom procedures and services […]
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 those amounts are determined. In the premiere episode of The Back Office, a new video series and podcast from Physicians Practice, host Lucien W. Roberts III, […]
The difference between a thriving medical facility and one struggling with cash flow often lies in the precision and strategic application of its coding processes. Maximizing reimbursements and strengthening financial health hinges on a proactive approach to medical coding – one that goes beyond simply assigning codes and delves into optimizing every facet of the […]





