CMS Proposes 2027 Medicare Payment Changes: What Physicians Should Review
CMS released the CY 2027 Medicare Physician Fee Schedule proposed rule on July 14, 2026, with public comments due September 14, 2026. The proposal touches the…
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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 66 posts
LCD vs. NCD: What Medicare Providers Need to Know About Coverage and Medical Necessity
LCDs and NCDs both define what Medicare considers reasonable and necessary, but they come from different authorities, apply at different scopes, and interact in…
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NPI vs. Taxonomy vs. PTAN: Key Differences Every Medical Practice Should Know
NPI, taxonomy code, and PTAN all show up on the same enrollment and credentialing forms, which is exactly why practices confuse them. This guide breaks down what…
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Insurance Eligibility Verification: How Practices Prevent Avoidable Claim Denials
Insurance eligibility verification is the first real checkpoint in the revenue cycle, and getting it wrong is one of the most common, most preventable causes of…
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Integrating Child Mental Health Into Primary Care: A Practical Guide for Pediatric and Family Medicine Providers
The CDC reports that one in five U.S. children aged 3 to 17 has a diagnosable mental, behavioral, or de and fewer than 10 child and adolescent psychiatrists…
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UnitedHealthcare Prior Authorization Changes 2026: What Practices Need to Know
UnitedHealthcare announced on May 5, 2026 that it would eliminate an additional 30 percent of its remaining prior authorization requirements, with the changes…
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Modifier 25 in 2027: What CMS's Proposed Payment Cut Means for Physicians
CMS's CY 2027 Medicare Physician Fee Schedule proposed rule includes a provision that would cut payment by 50 percent on same-day E/M visits billed with modifier 25…
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When Mental Health Crisis Reaches the Emergency Department: What Pediatric Behavioral Health Providers Need to Know
New data out of England shows a 36 percent rise in children reaching emergency departments in mental health crisis since 2019, with the fastest growth among…
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Days in A/R: How Medical Practices Can Reduce Receivables and Improve Cash Flow
Days in A/R is the single most diagnostic number in a medical practice's revenue cycle, and most practices are running well above where they should be. This article…
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