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All Blogs

All Blogs

E/M downcoding

Stop Losing Thousands: How E/M Downcoding Is Draining Your Practice Revenue in 2026

If your practice feels like it’s working harder but getting paid less, you’re not imagining it. Between Medicare fee schedule cuts, rising overhead, staffing shortages, and increased payer scrutiny, margins are tighter than ever in 2026. Even well-run practices with compliant billing processes are seeing unexplained revenue shortfalls month after month. One of the biggest […]
Published Date: February 18, 2026
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payer audit reimbursement appeals

How to Survive a Payer Audit and Win Your Reimbursement Appeals

When your practice receives a payer audit or reimbursement appeal request, it can feel overwhelming — especially when hundreds of medical records are involved. These audits are no longer rare or random. In 2026, both government and commercial payers are increasing audit volume, tightening medical necessity reviews, and aggressively recouping payments. If you respond without […]
Published Date: February 16, 2026
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telehealth documentation requirements

Telehealth Documentation Requirements in 2026: How to Stay Compliant and Get Paid

Telehealth is now a permanent part of patient care but incomplete documentation can lead to denied claims, compliance risks, or costly audits. According to CMS telehealth policy guidance, documentation must support eligibility, billing accuracy, and medical necessity for virtual services. When your team follows consistent documentation standards across Medicare, Medicaid, and commercial payers, you protect […]
Published Date: February 12, 2026
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difficult conversations with employees healthcare

How Medical Practice Managers Can Have Difficult Conversations With Staff (Without Damaging Morale)

Running a medical practice means having tough conversations — about performance, patient experience, compliance, attendance, communication, or accountability. Avoiding these discussions doesn’t protect relationships. It usually makes problems worse, increases turnover, and hurts patient care. When you handle difficult conversations correctly, you strengthen trust, improve staff performance, and protect your practice culture. Leadership communication skills […]
Published Date: February 11, 2026
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Florida patient refund law 2026

How to Comply with Florida’s 2026 Patient Refund Law

Florida’s Patient Refund Law takes effect January 1, 2026, and it directly affects how your practice handles patient overpayments. If you collect more than a patient owes—even unintentionally—you are now on a strict clock to identify, process, and return those funds. This law is not just about awareness. It requires clear workflows, trained staff, documented […]
Published Date: February 10, 2026
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patient experience at the front desk

Front Desk Excellence: How Your Customer Service Directly Impacts Patient Retention

Your front desk is not just a check-in station—it is the first and last impression your patients have of your practice. Long before a provider enters the exam room, patients are already deciding whether they feel respected, heard, and valued. These early impressions shape how patients interpret everything else that happens during their visit. In […]
Published Date: February 6, 2026
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medical practice reimbursement

How Your Medical Practice Really Gets Paid — And What You Can Do to Increase Reimbursement

If payer reimbursement feels confusing or unpredictable, you’re not alone. Many medical practices lose revenue every year—not because they’re providing the wrong care, but because they don’t fully understand how payers calculate payment or what levers they can control. Small misunderstandings in reimbursement methodology often lead to underpayments that go unnoticed for months or even […]
Published Date: February 4, 2026
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NPPES Credentialing Portal

How to Use the NPPES Portal Correctly (and Avoid Credentialing Delays)

If your practice bills insurance, enrolls providers, or participates in Medicare, Medicaid, or commercial payer networks, the NPPES portal plays a critical role in whether your claims get paid. When your NPPES information is inaccurate, outdated, or incomplete, problems often show up months later as denied claims, stalled enrollments, or payment delays that are difficult […]
Published Date: February 3, 2026
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telehealth

DEA Extends Telehealth Controlled Substance Prescribing: What Your Practice Must Do in 2026

Telehealth is now a permanent part of healthcare delivery—and so are the rules governing controlled-substance prescribing. The DEA has extended telehealth prescribing flexibilities for controlled substances through December 31, 2026, allowing medical practices to continue prescribing certain medications via telehealth under clearly defined requirements. If your practice prescribes Schedule II–V controlled substances, these rules apply […]
Published Date: January 30, 2026
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Evaluation and Management

What Your Practice Must Do Now to Get Paid for 99470, 99445, and RPM Services

The 2026 CPT code changes are no longer theoretical—they took effect January 1, 2026, and Medicare is already paying (or denying) claims based on them. If your billing team hasn’t updated workflows, documentation habits, and coding logic, your practice is likely missing reimbursement or triggering denials. These changes directly affect how Medicare recognizes physician time, […]
Published Date: January 28, 2026
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