Medicare Modifiers GA, GX, GY, GZ: Common Billing Mistakes to Avoid
A practical guide explaining how and when to use Medicare modifiers GA, GX, GY, and GZ, the ABN rules behind them, and the most common billing mistakes that lead to…
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Insights & Updates
Practical guidance for running a healthier practice
Straight-talking articles on billing and revenue cycle, credentialing, state licensing and healthcare technology, written by the people who do this work every day for practices across all 50 states.
Latest articles 32 posts
Medicare Advantage Rehab Denials: What Rehabilitation Providers Need to Know About Prior Authorization and Appeals
A June 2026 HHS OIG report found that the largest Medicare Advantage organizations deny rehabilitative care admissions at some of the highest rates in the…
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How Credentialing Automation Eliminates Manual Provider Work
Manual credentialing still runs on spreadsheets, phone calls, and repeated data entry across a dozen different verification sources, and every day it drags on is a…
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Indiana Flooding 2026: What Healthcare Providers Need to Recognize and Prepare for After the Floods
he historic August 2026 Indiana flooding, tied to a derecho and stalled storm system, has left rivers at record crests, infrastructure damaged, and dozens of…
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IPA in Medical Billing: What It Means and How It Affects Your Reimbursement
IPA stands for Independent Practice Association, a structure that lets independent physicians keep ownership of their practices while gaining shared negotiating…
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How ASC Billing Services Increase Revenue and Reduce Claim Denials
ASC billing runs on its own payment methodology, its own covered procedures list, and its own set of denial triggers, all of which are different from standard…
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CMS-855B Update: 5 Medicare Enrollment Mistakes Practices Should Avoid
The revised CMS-855B, now dated April 29, 2026, changes how group practices report reassignment of benefits, ownership structure, and certain submittal reasons…
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Radiology AI Reimbursement in 2026: What New Medicare Payment Changes Mean for Imaging Practices
CY 2026 brought a new efficiency adjustment cutting radiology RVUs, plus a few new CPT codes for AI imaging. Here's what's actually reimbursable, where most AI…
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Cyclospora Outbreak 2026: What Physicians Should Watch for in Persistent GI Symptoms
The 2026 cyclosporiasis outbreak, linked to contaminated iceberg lettuce, is now the largest on record in the United States, with case counts running more than ten…
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