Billing

CMS Proposes 50% Modifier 25 Payment Cut for 2027

Your practice could receive 50% less for certain same-day E/M visits and procedures in 2027 under a significant Medicare payment change proposed by the Centers for Medicare & Medicaid Services (CMS). The proposal targets encounters in which your physician or another physician in the same practice provides a separately identifiable office/outpatient evaluation and management (E/M) […]

Published Date: September 24, 2026

CMS Proposes 1.68% Conversion Factor Cut and PE RVU Overhaul for 2027

The Centers for Medicare & Medicaid Services released the 2027 medicare physician fee schedule proposed rule this summer, and the document carries two changes that will reach every private practice billing Medicare next year: a lower conversion factor and a rebuilt method for calculating Practice Expense RVUs. Under the proposal, the CY 2027 non-qualifying APM […]

Published Date: September 17, 2026

6 Ways to Improve Medical Coding and Billing Accuracy and Protect Your Revenue

Strong documentation is only half the battle when it comes to getting your practice paid correctly. Your codes must accurately reflect what the provider documented and the services your practice actually performed. Get the coding wrong in either direction, and your practice can pay for it. Upcoding can trigger payer scrutiny, audits, repayment demands and […]

Published Date: September 10, 2026

Turn Medical Claim Denials Into Recovered Revenue

A denied claim doesn’t automatically mean lost revenue. But the longer your staff waits to address it — or the more time they spend working denials with little chance of recovery — the more expensive the problem becomes. Effective medical claim denial management requires more than working a queue from oldest to newest. You need […]

Published Date: September 7, 2026

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

Maximize Your 2026-2027 Medicare Flu Vaccine Reimbursement

CMS seasonal flu vaccine payment limit updates for the 2026-2027 season carry real revenue implications for every private practice billing Medicare — and the window to act is already open. Effective date range: August 1, 2026, through July 31, 2027. Any flu vaccine administered during this period must be billed against the new payment allowances. […]

Published Date: August 11, 2026

4 Steps to Prepare Your Team for the IDR Overhaul

The Federal Independent Dispute Resolution Operations Final Rule slashes the administrative fee from $115 to just $15 per party per dispute — and for smaller practices, that single change rewrites the cost-benefit calculation entirely. For years, the $115-per-party fee made low-dollar claim disputes a losing proposition before the process even started. If a payer underpaid […]

Published Date: August 10, 2026

Stop Medicare Advantage Claim Denials: Practical Steps to Protect Your Practice Revenue

Medicare Advantage (MA) claim denials are increasing — and they can quietly drain your practice’s revenue if you’re not proactive. If your team struggles with denials, delayed payments, or confusing payer rules, you’re not alone. Many physician practices face these challenges as MA enrollment grows nationwide. The good news: when you understand payer expectations, strengthen […]

Published Date: August 6, 2026

Billing-From-A-to-Z-Improve-Claims-Pay-Up

How to Improve the Medical Claim Life Cycle and Reduce Claim Denials in Your Practice

Your practice can provide excellent patient care and still struggle financially if your claims process breaks down. Every claim represents revenue your practice has earned, but small errors anywhere in the process can delay or prevent payment. That is why understanding the medical claim life cycle is critical for every physician practice, billing team, coder, […]

Published Date: July 20, 2026

How to Bill Medicare Secondary Payer Correctly and Avoid Costly Claim Denials

If your practice bills Medicare regularly, Medicare Secondary Payer (MSP) rules are not optional—they’re essential. One simple mistake in determining who should pay first can result in denied claims, delayed reimbursement, costly overpayments, and even repayment demands years later. The challenge is that MSP rules aren’t always straightforward. Whether a patient has employer coverage, workers’ […]

Published Date: July 14, 2026

Billing

Billing

CMS Proposes 50% Modifier 25 Payment Cut for 2027

CMS Proposes 1.68% Conversion Factor Cut and PE RVU Overhaul for 2027

6 Ways to Improve Medical Coding and Billing Accuracy and Protect Your Revenue

Turn Medical Claim Denials Into Recovered Revenue

How Medical Billing Training Can Improve Your Revenue Cycle

Maximize Your 2026-2027 Medicare Flu Vaccine Reimbursement

4 Steps to Prepare Your Team for the IDR Overhaul

Stop Medicare Advantage Claim Denials: Practical Steps to Protect Your Practice Revenue

How to Improve the Medical Claim Life Cycle and Reduce Claim Denials in Your Practice

How to Bill Medicare Secondary Payer Correctly and Avoid Costly Claim Denials

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