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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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 54 posts
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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Florida Flooding and Patient Care: Post-Flood Health Risks Physicians Should Know
Florida's flood season brings a predictable, recurring set of clinical risks, from contaminated floodwater and mold exposure to disrupted medication access and…
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Obstetrics & Gynecology Reimbursement Changes: What to Review Before 2027 Medicare
CMS released the CY 2027 Medicare Physician Fee Schedule proposed rule in July 2026, and it includes a lower conversion factor, a proposed 50 percent cut to…
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CPT 99483 for Geriatric Practices: Medicare Billing Rules for Cognitive Assessment and Care Planning
CPT 99483 reimburses meaningfully better than a standard office visit, but it comes with eight required documentation elements and a strict once-per-180-days limit…
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Occupational Therapist Credentialing: Common Medicare Enrollment Mistakes That Can Delay Billing
A delayed Medicare enrollment for an occupational therapist doesn't just push back a start date, it can mean weeks of unbillable patient visits. This article breaks…
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Incident-To Billing for Nurse Practitioners: Medicare Rules and Common Mistakes
Incident-to billing lets a qualifying nurse practitioner's visit get reimbursed at 100% of the Medicare Physician Fee Schedule instead of 85%, but the requirements…
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