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medical practice performance reports

How Monthly Practice Reports Help You Get Paid More and Run Better in 2026

You can’t fix problems you don’t see. In 2026, operating costs for medical practices continue to rise—and Medicare payment adjustments aren’t keeping pace with expenses. According to the American Medical Association (AMA), Medicare physician payment increased only modestly from 2001 to 2026, while the cost of running a practice climbed far more sharply, squeezing margins. […]
Modifier 25 billing

Modifier 25: How to Use It Correctly, Avoid Denials, and Protect Practice Revenue

What Modifier 25 Means (And Why It Matters for Your Practice) Modifier 25 tells payers you provided a significant, separately identifiable Evaluation & Management (E/​M) service on the same day as a minor procedure. According to CMS and CPT® guidance, the evaluation normally required before a minor procedure is already included in the procedure payment, […]
HIPAA Compliance Officer

Why Your Medical Practice Must Designate a HIPAA Compliance Officer (And How to Do It Right)

If you manage a medical practice, protecting patient health information isn’t optional — it’s a federal legal requirement. Under HIPAA, your practice must designate a HIPAA Compliance Officer responsible for privacy, security, and regulatory oversight. According to the U.S. Department of Health & Human Services (HHS) HIPAA Privacy Rule, covered entities must assign a privacy […]
Healthcare compliance training

Federal Training Requirements: How Your Team Stays Compliant and Avoids Costly Mistakes

Healthcare compliance isn’t optional — federal regulations continue tightening around privacy, billing accuracy, workplace safety, and documentation requirements. If your staff isn’t properly trained, your practice risks audits, claim denials, penalties, and patient safety issues. Structured annual training protects your revenue, your patients, and your reputation. As emphasized in your original compliance guide, ongoing education […]
telehealth mental health billing

MHPAEA Tele-Mental Health Billing: Reduce Denials & Protect Reimbursement

If your practice provides tele-mental health services, understanding how mental health parity rules affect remote care is increasingly important for your practice. The Mental Health Parity and Addiction Equity Act (MHPAEA) does not change how you clinically treat patients, but it does influence how insurers evaluate, manage, and reimburse the behavioral health services you provide. […]
42 CFR Part 2 compliance

OCR’s February 2026 SUD Privacy Enforcement Program: What Medical Practices Must Do Now to Protect Substance Use Disorder Records

On February 16, 2026, the HHS Office for Civil Rights (OCR) officially launched a new enforcement program focused on implementing and enforcing statutory and regulatory protections for Substance Use Disorder (SUD) patient records. This means regulators are now actively prioritizing compliance with 42 CFR Part 2 confidentiality rules alongside HIPAA privacy requirements, and medical practices […]
medical billing training for staff

How Training Your Billing Staff Directly Increases Revenue and Reduces Claim Denials

If your practice is struggling with denied claims, delayed payments, or unpredictable cash flow, the issue often isn’t your EHR or your payer contracts — it’s training. Billing rules, payer edits, and documentation requirements are changing faster than most medical practices can keep up with. According to CMS Medicare billing and claims processing requirements, even […]
Modifier 25 billing

How to Protect Revenue When Billing E/M Services with Preventive Visits

If your providers are seeing patients for Annual Wellness Visits (AWVs) or preventive exams and addressing new or worsening problems at the same visit, you face a critical billing question: Can you bill an E/​M service with Modifier 25 — or will it trigger a denial or audit? Under the CPT® Evaluation and Management guidelines, […]
balance billing compliance

Balance Billing Compliance: How Your Medical Practice Avoids Penalties, Patient Complaints & Revenue Loss

Balance billing compliance is no longer just a hospital issue — it affects physician practices, ambulatory surgery centers, imaging centers, and specialty clinics. The No Surprises Act (NSA) and Good Faith Estimate (GFE) rules require you to rethink how your front desk, billing department, and compliance team communicate costs to patients. If your workflows are […]
Insurance claim denials

How to Fight Insurance Claim Denials and Turn Healthcare Laws Into Revenue

If your practice is dealing with more insurance claim denials than ever, you’re not imagining it. In 2026, payer denial rates remain high and inconsistent, with some insurers denying more than half of submitted claims while others deny very few. This lack of consistency creates major cash-flow issues, forces your staff into constant rework, and […]