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patient collections best practices

How to Send a Patient Bill to Collections Without Creating Compliance Problems

Unpaid patient balances can put real pressure on your medical practice. But sending an overdue medical bill to collections shouldn’t be an automatic next step. Before you turn over an account, confirm that the balance is accurate, your practice has followed applicable billing requirements, the patient has received required notices, and the collection agency will […]
Published Date: September 2, 2026
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Internal CMS Audits: Find Your Medicare Compliance Risks Before an Auditor Does

Waiting until you receive an audit request to find out whether your Medicare documentation and billing processes will hold up is a risky strategy. CMS has significantly expanded its Medicare Advantage audit efforts, increased the use of technology to identify unsupported diagnoses, and dramatically expanded the number of medical coders reviewing records. At the same […]
Published Date: September 1, 2026
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Your CPT Data Could Be the Key to Higher Payer Reimbursement

When you ask a payer for a rate increase, are you asking for “more” — or can you show exactly where your reimbursement is falling short? That distinction matters. A general request for higher reimbursement gives the payer plenty of room to say no. A request supported by specific CPT codes, utilization, reimbursement comparisons and […]
Published Date: August 31, 2026
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Medicaid audit

How Medical Billing Training Can Improve Your Revenue Cycle

When claims are denied, delayed, or returned for corrections, your practice doesn’t just have a billing problem. You have money sitting outside your bank account. That’s why medical billing training should be viewed as part of your revenue cycle strategy—not simply another employee requirement. When your billing and coding staff understand current rules, recognize common […]
Published Date: August 27, 2026
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Provider Relief Fund

Fix Credentialing Denials Before They Become Write-Offs

When a claim is denied because of a provider enrollment or credentialing issue, simply correcting and resubmitting the claim may not solve the underlying problem. Your staff first needs to determine why the payer rejected the claim and whether the problem involves provider data, enrollment status, effective dates, participation or another issue. Without that investigation, […]
Published Date: August 26, 2026
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Dental Billing Strategy: How to Master the 67 CDT 2027 Code Updates

2027 ADA CDT code updates represent the most significant annual revision cycle in recent memory — and your billing strategy needs to account for every one of them before January 1, 2027. According to ADA News, the ADA Code Maintenance Committee approved 67 total changes following its March meeting in Chicago. That’s not a minor […]
Published Date: August 25, 2026
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RPM

AI Wearables vs. HIPAA: Why Your Old Security Fails

AI-powered wearables don’t just collect health data — they continuously stream it to third-party cloud platforms, breaking every assumption your practice’s current HIPAA risk assessment was built on. Traditional HIPAA models were designed around a clear boundary: protected health information (ePHI) lived inside your EHR, your billing system, or your on-site servers. Perimeter security worked […]
Published Date: August 24, 2026
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doj compliance rule

5 Steps to Protect Your Practice from the DOJ’s New Enforcement Strategy

Healthcare fraud enforcement has entered a new phase, and every physician practice should be paying attention. The Department of Justice (DOJ) is no longer relying primarily on complaints or lengthy investigations after claims have been paid. Instead, advanced data analytics and artificial intelligence are helping identify unusual billing patterns much earlier in the claims process. […]
Published Date: August 20, 2026
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managed care contracts

Is Your Payer Contract Quietly Costing Your Practice Money?

Paying more for staff, supplies, technology and virtually everything else required to run your medical practice? There is a good chance your expenses have increased substantially over the last several years. But have your payer reimbursement rates kept pace? If you haven’t reviewed and renegotiated your payer contracts recently, the answer may be no. And […]
Published Date: August 19, 2026
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Incident to billing

New CMS NPI Mandates: How to Protect Your Off-Campus Reimbursement

The CMS CY 2027 Hospital Outpatient Prospective Payment System proposed rule sets a hard 2028 deadline that every off-campus outpatient department must prepare for now — or risk losing Medicare payment eligibility entirely. Section 6225 of the Consolidated Appropriations Act, 2026 drives these changes, and the compliance requirements are more specific than many practice managers […]
Published Date: August 18, 2026
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