2027 ICD-10-CM Codes Are Live: What Your Practice Needs to Check Today
The FY 2027 ICD-10-CM codes take effect today, October 1. If your practice isn’t completely ready, don’t panic—but don’t wait, either. Starting with today’s dates of service, you need to use the FY...
View ArticleReduce Medicaid Eligibility Denials Before the Patient Is Seen
Medicaid eligibility problems can turn a routine patient visit into an unpaid claim. A patient may present an insurance card that looks valid, but the coverage, managed care plan, coordination of...
View ArticleStop Corporate Takeovers of Physicians Act Could Change Who Controls Your...
A newly introduced federal bill could significantly change who is allowed to own a medical practice—and who gets to control everything from billing and staffing to physician compensation and payer...
View ArticlePrevent EHR Defaults from Drowning Your Practice
Most practices configured their EHR once, during go-live, under deadline pressure, with a vendor implementation specialist who had four other clients that week. Those settings are still running. They...
View ArticleCMS Proposes 50% Modifier 25 Payment Cut for 2027
Your practice could receive 50% less for certain same-day E/M visits and procedures in 2027 under a significant Medicare payment change proposed by the Centers for Medicare & Medicaid Services...
View ArticleImprove Patient Collections at the Front Desk Without Damaging Patient...
Your practice can code every claim correctly, submit it on time and successfully collect from the payer—and still lose revenue because the patient portion never gets paid. That’s why patient...
View ArticlePrepare Your Practice for Tougher HIPAA Cybersecurity Requirements
The HIPAA Security Rule was written for a very different technology environment than the one your medical practice operates in today. Your employees access cloud-based EHRs. Staff may work remotely....
View ArticleImprove Medical Office Teamwork by Communicating Better
A great medical practice team doesn’t require employees who all think alike. In fact, you need different strengths. You need someone willing to make a decision when the office is stuck. You need...
View ArticleCMS 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...
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