Our recent articles provide new perspectives and expert insights

Getting an appeal denied insurance claim can feel like hitting a brick wall, but it doesn’t mean your fight for coverage is over. Many denied claims are overturned on appeal....

In the complex world of medical billing, few specialties present as many coding challenges as gastroenterology. Endoscopy billing—covering a wide range of procedures from colonoscopies to upper GI endoscopies—is a...

In the complex world of modern healthcare, a patient’s journey is shaped by more than just their medical diagnosis. Factors like housing stability, access to nutritious food, reliable transportation, and...

The U.S. healthcare industry continues its digital transformation, with providers and payers embracing electronic transactions to streamline revenue cycle management (RCM) processes. According to the CAQH Index, adoption of electronic...

Healthcare is an ever-evolving landscape. In this era of value-based care, accurate documentation and coding are important for financial stability and quality patient care. Hierarchical Condition Categories (HCCs) are crucial...

The landscape of payment integrity, particularly within complex sectors like healthcare and financial services, is constantly evolving. As organizations grapple with escalating costs, intricate regulatory frameworks, and the persistent threat...

In today’s evolving healthcare environment, medical billing compliance is more than just a legal requirement—it’s a strategic safeguard for your medical practice. As regulations tighten and audits become more frequent,...

For the 2026 ICD-10-CM code updates, you’ll find 16 new “R” codes that offer greater detail for reporting pain and tenderness in the pelvic, perineal, subpubic, abdominal, and flank regions....

Telehealth has become an indispensable part of modern healthcare, offering convenience and accessibility to patients and providers alike. For practices operating under a Fee-For-Service (FFS) model, navigating the complexities of...

When it comes to the Merit-based Incentive Payment System (MIPS), 2025 data reveals a striking disparity: small and rural medical practices were disproportionately penalized, facing significantly higher penalties than their...