CMS Proposes 1.68% Conversion Factor Cut and PE RVU Overhaul for 2027
The Centers for Medicare & Medicaid Services released the 2027 medicare physician fee schedule proposed rule this summer, and the document carries two changes that will reach every private practice...
View ArticleCPT E/M Caregiver Guidelines: When You Can (and Can’t) Bill Without the Patient
Determining whether you can bill office E/M codes when the patient is not present is one of the most common points of confusion for practice managers and coders. Whether you are dealing with a...
View ArticleEmployee Termination Checklist: Protect Your Medical Practice From Wrongful...
Terminating an employee is one of the most difficult management decisions you make in a medical practice. Even when you have a legitimate reason to let someone go, inconsistent discipline, poor...
View ArticleHow to Measure Medical Practice Performance and Prove What’s Working
Running a successful medical practice involves far more than keeping the schedule full and making sure claims go out the door. Every day, you make decisions that affect revenue, compliance, staffing,...
View Article6 Ways to Improve Medical Coding and Billing Accuracy and Protect Your Revenue
Strong documentation is only half the battle when it comes to getting your practice paid correctly. Your codes must accurately reflect what the provider documented and the services your practice...
View ArticleThe Hidden Compliance Risks of AI Medical Documentation
Artificial intelligence is changing the way medical practices document patient care. AI-powered scribes and documentation tools can help reduce physician burnout, speed up charting, and improve...
View ArticleCAQH Credentialing Checklist: 8 Steps to Avoid Payment Delays
An incomplete provider profile can create much bigger problems than another item on your administrative to-do list. When information used for credentialing is outdated, missing, or inconsistent, your...
View ArticleTurn Medical Claim Denials Into Recovered Revenue
A denied claim doesn’t automatically mean lost revenue. But the longer your staff waits to address it — or the more time they spend working denials with little chance of recovery — the more expensive...
View Article9 Ways to Improve Professionalism in Your Medical Practice
Professionalism in healthcare isn’t simply about how your employees dress, whether they arrive on time, or how politely they answer the phone. It shows up in how your team communicates when the office...
View ArticleHow to Send a Patient Bill to Collections Without Creating Compliance Problems
Unpaid patient balances can put real pressure on your medical practice. But sending an overdue medical bill to collections shouldn’t be an automatic next step. Before you turn over an account, confirm...
View ArticleInternal CMS Audits: Find Your Medicare Compliance Risks Before an Auditor Does
Waiting until you receive an audit request to find out whether your Medicare documentation and billing processes will hold up is a risky strategy. CMS has significantly expanded its Medicare Advantage...
View ArticleYour CPT Data Could Be the Key to Higher Payer Reimbursement
When you ask a payer for a rate increase, are you asking for “more” — or can you show exactly where your reimbursement is falling short? That distinction matters. A general request for higher...
View ArticleHow Medical Billing Training Can Improve Your Revenue Cycle
When claims are denied, delayed, or returned for corrections, your practice doesn’t just have a billing problem. You have money sitting outside your bank account. That’s why medical billing training...
View ArticleFix Credentialing Denials Before They Become Write-Offs
When a claim is denied because of a provider enrollment or credentialing issue, simply correcting and resubmitting the claim may not solve the underlying problem. Your staff first needs to determine...
View ArticleDental Billing Strategy: How to Master the 67 CDT 2027 Code Updates
2027 ADA CDT code updates represent the most significant annual revision cycle in recent memory — and your billing strategy needs to account for every one of them before January 1, 2027. According to...
View ArticleAI Wearables vs. HIPAA: Why Your Old Security Fails
AI-powered wearables don’t just collect health data — they continuously stream it to third-party cloud platforms, breaking every assumption your practice’s current HIPAA risk assessment was built on....
View Article5 Steps to Protect Your Practice from the DOJ’s New Enforcement Strategy
Healthcare fraud enforcement has entered a new phase, and every physician practice should be paying attention. The Department of Justice (DOJ) is no longer relying primarily on complaints or lengthy...
View ArticleIs Your Payer Contract Quietly Costing Your Practice Money?
Paying more for staff, supplies, technology and virtually everything else required to run your medical practice? There is a good chance your expenses have increased substantially over the last several...
View ArticleNew CMS NPI Mandates: How to Protect Your Off-Campus Reimbursement
The CMS CY 2027 Hospital Outpatient Prospective Payment System proposed rule sets a hard 2028 deadline that every off-campus outpatient department must prepare for now — or risk losing Medicare payment...
View ArticleStop the 2027 Maternity Coding Overhaul From Tanking Your Revenue
The 2027 maternity coding changes represent the most significant restructuring of obstetric billing in three decades — and for private practices, the revenue implications are immediate. The AMA is...
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