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AMA Fast-Tracks CPT® Code Changes: What Early Releases Mean for Your Practice…
Mid-year CPT® code changes are here—and they’re already in effect. Discover how the AMA’s early-release updates for 2026 could impact your coding, compliance, and revenue before the 2027 codebook even arrives.
CMS Introduces 80 New ICD-10-PCS Codes: What Providers and Coders Need to Know…
From gene therapy breakthroughs to DRG-shifting non-OR procedures, CMS’s latest 80 PCS codes signal a major shift in coding and reimbursement.
CMS Final Rule Signals a New Era of Standardized Electronic Healthcare Data…
A $781 million shift is underway. Learn how CMS’s new rule is modernizing healthcare data exchange—and what your organization must do next.
Prior Authorization in Mental Health: The Hidden Barrier to Timely Care and…
Prior authorization is one of the biggest barriers in mental health care today, delaying treatment, increasing denials, and draining staff productivity. This in-depth guide breaks down the top challenges behavioral health practices face and offers…
Oncology Billing: Mastering Split Billing to Protect Revenue and Ensure…
Oncology billing is complex, but split billing does not have to be a source of revenue loss. Discover how mastering professional and technical components can unlock hidden revenue, reduce denials, and strengthen compliance for the future.
Wound Care Billing in 2026: Why Revenue Shrinks as Patient Volume Grows — And…
Wound care practices are seeing more patients than ever yet collecting less. This article explains how documentation gaps, modifier misuse, and 2026 reimbursement changes are quietly compressing margins, impacting profitability.
ASC Coding Compliance in 2026: A Practical Playbook for Accuracy, Audit…
This practical, step-by-step compliance playbook is designed to help with ASC coding changes in 2026. It aims to reduce denials, improve coding accuracy, and protect your practice’s revenue.
Occupational Therapy Billing in 2026: Navigating Change, Maximizing Revenue…
Occupational therapy billing is evolving rapidly in 2026. This article covers the latest CPT updates, Medicare changes, compliance risks, and proven strategies to reduce denials, improve accuracy, and protect your practice’s revenue.
Thyroid Eye Disease (TED) Coding in 2026: A New Era of Diagnostic Precision
Thyroid Eye Disease (TED) has long posed both clinical and coding challenges due to its complex presentation and historical lack of diagnostic specificity. With the introduction of new ICD-10-CM codes effective October 1, 2025, providers and coders…
AI Medical Scribes for Clinical Documentation
Explore the benefits and risks of using AI medical scribes to improve clinical efficiency, medical coding accuracy, and healthcare compliance.
Eliminating Duplicate Charges in Healthcare
Establishing a clean charge entry process helps healthcare organizations eliminate duplicate postings, strengthen billing accuracy, and improve revenue.
Thoracic Endovascular Aortic Repair Coding Overhaul
New revisions to medical coding for thoracic endovascular aortic repair expand procedural scope and introduce reporting rules for cardiovascular providers.
AMA Introduces 28 New CPT Category III Codes
The latest CPT update introduces new Category III codes covering digital 3D modeling, AI-driven diagnostics, and emerging therapies for medical providers.
Strategic Guide for Hospitals Navigating Medicare Payment and Compliance Changes
The IPPS Final Rule introduces updates to hospital reimbursement, MS-DRGs, quality reporting, and value-based care models to protect revenue and compliance.
CMS Expands Medicare DMEPOS Oversight
CMS has expanded its Medicare DMEPOS Master List, introducing new prior authorization and documentation requirements for healthcare providers and suppliers.
Mastering ESRD Monthly Capitation Payment Guide
A guide to Medicare's Monthly Capitation Payment for ESRD, detailing coding, visit requirements, and compliance practices for nephrology providers.
Remote Care Reimbursement and Coding Updates
An analysis of the updates to remote patient monitoring and remote therapeutic monitoring coding and their impact on practice revenue and care.
Impact of Predictive Utilization Controls on Healthcare Authorization
Exploring how prior authorization and predictive payer algorithms are reshaping healthcare reimbursement, documentation, and patient access.
Medical Billing and Revenue Cycle Solutions
Performance-driven medical billing solutions maximize reimbursements and reduce denials. These services streamline the revenue cycle for practices.
Practical Coding Habits to Protect Primary Care Revenue
Learn repeatable coding behaviors used by primary care practices to reduce denials, improve documentation, and protect revenue while maintaining quality patient care.
Lower Extremity Revascularization: A Practical Coding Playbook
This guide explains changes in LER coding, covering lesion complexity and territory rules to help medical practices navigate compliance and protect revenue.
From Data Steward to Strategic Influencer: A Modern Guide to Data Literacy for…
Explore how data literacy is redefining HIM leadership, transforming information into actionable decisions and elevating record stewardship in healthcare.
HCPCS Level II Update for Medical Billing
Details on drug coding changes, telehealth services, and documentation requirements to assist medical billing and reimbursement workflows.
Inpatient Procedure Code Updates for Hospitals
Analysis of new inpatient procedure codes and their impact on MS-DRG assignment, reimbursement accuracy, and medical compliance.
Medicare Policy Changes for Healthcare Providers
Breakdown of policy updates including site-of-care shifts and telehealth refinements to help healthcare providers stay compliant and protect revenue.