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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 […]
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 […]
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 […]
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 […]
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, […]
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 […]
PECOS Surrogacy

Medicaid Eligibility Verification Mistakes That Hurt Reimbursement

If Medicaid eligibility denials are becoming a regular problem for your practice, you’re not alone. Across the country, medical practices are experiencing increased claim denials due to coverage changes, eligibility issues, coordination of benefits problems, and enrollment discrepancies. Following the end of continuous Medicaid enrollment protections, millions of beneficiaries have undergone eligibility redeterminations, increasing the […]
Workplace violence

Failing to Prevent Workplace Violence Could Cost You—Here’s How to Fix It Now

Workplace violence in healthcare isn’t rare anymore—and if you run a medical practice, you’re responsible for preventing it. This isn’t just about safety—it’s about compliance, liability, and protecting your team from real harm. If you ignore the risk, you’re exposing your practice to serious consequences. Under the Occupational Safety and Health Administration (OSHA), you are […]
Billing modifier 62

The Hidden Revenue Leaks in Global Surgical Billing (And How to Fix Them)

If you’re responsible for coding, billing, or managing revenue in a medical practice, understanding global surgical periods isn’t optional—it directly impacts your bottom line. Misunderstanding what’s included (and what’s not) leads to underbilling, denied claims, and lost revenue. The reality? Most practices leave money on the table simply because documentation and modifier usage don’t align […]

Protect Your Practice from Fraud, Waste and Abuse Violations

Compliance is no longer something your practice can afford to treat as a once-a-year training requirement. Government agencies continue to increase enforcement efforts targeting fraud, waste, and abuse in healthcare, and many investigations begin with issues that could have been prevented through better education, stronger oversight, and consistent compliance processes. The good news is that […]