Save $500 on an All Access Training Pass Learn More

Blog

Blog

doj compliance rule

5 Ways to Protect Your Practice From DOJ Fraud Investigations

The days of assuming government healthcare fraud investigations take years are over. Federal agencies are using advanced data analytics, increased interagency collaboration, and proactive enforcement strategies to identify questionable billing patterns sooner than ever before. While most physician practices strive to bill accurately, even documentation errors, inconsistent coding, or weak compliance processes can attract unwanted […]
Published Date: June 30, 2026
Read More
Billing errors

E/M Coding Errors: The Compliance Risk of “Fixing” Codes Without Documentation

When you’re managing coding and billing, it’s tempting to “fix” a code before submission—especially when you know the visit could support a higher level. But making a silent edit (changing a code without provider documentation) puts your entire practice at risk. What feels like efficiency can quickly turn into a compliance violation. According to the […]
Published Date: June 29, 2026
Read More
front desk skills

10 Front Desk Customer Service Lessons Every Medical Practice Should Know

Your front desk team is often the first and last impression patients have of your practice. Whether a patient is scheduling an appointment, asking a billing question, or calling with a concern, the quality of that interaction directly impacts patient satisfaction, retention, and even your practice’s reputation. How strong are your team’s customer service skills? […]
Published Date: June 25, 2026
Read More
Outsourced medical billing

How to Successfully Outsource Medical Billing and Strengthen Your Revenue Cycle

Medical billing is no longer just an administrative task. It directly affects your cash flow, reimbursement rates, compliance efforts, and overall financial health. If your practice is dealing with staffing shortages, increasing claim denials, or growing administrative workloads, outsourcing medical billing may help you improve collections and reduce operational stress. Get the key steps to […]
Published Date: June 23, 2026
Read More
CAQH

7 Ways to Simplify Your Credentialing Process with CAQH

Important: CAQH recently changed its name to DataSpring, powered by CAQH. Their online services had name changes too: CAQH ProView is now CAQH Provider Data Portal VeriFide is now DataSpring Primary Source Verification SanctionsTrack is now DataSpring Sanction Monitoring Reports indicate that nothing else should change for providers, including your login to access their online […]
Published Date: June 22, 2026
Read More
IDR Process

How to Win More Payment Disputes Under the New Federal IDR Process

The latest federal Independent Dispute Resolution (IDR) operations rule makes it clear that physician practices can no longer treat No Surprises Act compliance as an occasional administrative task. The federal government has finalized new requirements that directly affect how you challenge underpayments, negotiate with health plans, and recover revenue from out-of-network claims. If your team […]
Published Date: June 18, 2026
Read More
CPT Code Changes

Most Medical Practices Underuse ICD-10 Z Codes — Here’s Why That Matters

Most medical practices focus heavily on diagnosis coding, procedure coding, and claim submission accuracy. But many practices overlook one of the most important sections of ICD-10-CM: Z codes. These codes help document the real-world factors affecting your patients’ health, compliance risks, treatment outcomes, and healthcare costs. According to the Centers for Medicare & Medicaid Services […]
Published Date: June 17, 2026
Read More
MACRA Compliance

Why “Check-the-Box” Compliance Training Is Putting Your Practice at Risk

If your team is simply signing training acknowledgments, you have a hidden compliance risk. A signature does not mean your staff understands how to prevent a HIPAA breach or identify fraud risk—it only proves they clicked through a course. To protect your practice, you need active, competency-based training. That means using real-world scenarios, testing understanding, […]
Published Date: June 16, 2026
Read More
2026 HCPCS

39 New HCPCS Codes Are Coming: Is Your Practice Ready?

The Q3 2026 HCPCS Level II update is one of the most significant mid-year coding changes in recent years. With 39 new HCPCS Level II codes being introduced, your medical practice needs to act quickly to ensure coding accuracy, avoid claim denials, and protect reimbursement. These updates are more than administrative changes. They directly affect […]
Published Date: June 15, 2026
Read More