Medicaid 6-Month Redeterminations: Surviving the Patient Churn
Starting 2027, Medicaid expansion adults face redetermination every 6 months. Here is how practices set up the workflow before the churn begins.
Read articleInsights on medical billing, RCM, denial recovery, and the operational details that decide whether a practice gets paid this quarter.
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
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
25 million Medicaid disenrollments and 6-month redeterminations are creating a self-pay surge. Here is the practice-side collections playbook.
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Best Practices
CMS just set a 7-day clock on standard prior authorization decisions. Here is how practices use the 2026 rule to recover delayed…
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Best Practices
OIG flagged remote patient monitoring for 2026 audit. Here is the documentation discipline that defends every CPT 99454 claim.
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Best Practices
When credentialing lapses, providers stop getting paid overnight. Most cliffs are preventable. Here's how to spot the risk and recover when it…
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Best Practices
CMS updated the two-midnight rule fact sheet in March 2026. Here is what admitting practices and hospitalists need to know for MA…
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Best Practices
OIG 2026 Work Plan flags CCM, telehealth, and Medicare Advantage. Here is how practices keep documentation audit-ready.
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