Information Blocking Rule: Provider Disincentives Are Live
HHS finalized provider disincentives for information blocking on July 31, 2024. Here is what billing teams must do to stay clean.
Read articleInsights on medical billing, RCM, denial recovery, and the operational details that decide whether a practice gets paid this quarter.
Best Practices
HHS finalized provider disincentives for information blocking on July 31, 2024. Here is what billing teams must do to stay clean.
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Best Practices
Starting 2027, Medicaid expansion adults face redetermination every 6 months. Here is how practices set up the workflow before the churn begins.
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Best Practices
Most practices write off $50K+ per year in aged A/R as bad debt. Most of it is recoverable. Here's the playbook for…
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Best Practices
CMS CERT data continues to flag modifier 25 in top error categories. Here is the documentation that defends every modifier 25 claim.
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Best Practices
HHS, DOL, and Treasury finalized parity NQTL rules in 2024. Here is how behavioral health practices use them to recover denials.
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Best Practices
Mental health billing has its own rules: time-based coding, telehealth modifiers, parity laws. Generalist billers get them wrong. Here's what specialty billing…
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Best Practices
CMS clarified direct supervision rules for 2026 and incident-to billing remains a top mis-billing area. Here is the audit-defensible workflow.
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Industry Trends
New CMS codes G0556, G0557, and G0558 pay primary care up to $117 PMPM in 2026. Here is how to bill them…
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Industry Trends
ACIP recommendations and CHIP rules updated for 2026. Here is the pediatric billing playbook for vaccines, well-child visits, and Medicaid mix.
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