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Insights That Move Healthcare

Expert perspectives on revenue cycle, risk adjustment, compliance, and healthcare strategy – designed to help providers, plans, and leaders make smarter operational and financial decisions.

RPM Billing in 2026: A Day in RPM Services Th...

Remote Patient Monitoring (RPM) billing sounds like one of those healthcare ideas that should be simple: Patients stay home. Devices collect data. Doctors get paid.

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medical billing
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medical coding audit
May 22, 2026

Why Your 99214 Keeps Becoming a 99213...

You’re leaving $25-$40 per visit on the table every time a legitimate 99214 gets downcoded to 99213. Not because someone...

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home healthcare billing
May 20, 2026

New HCBS Quality Measures Impact Home...

Workforce pressures on billing for home health services are impacted every time The Centers for Medicare & Medicaid Serv...

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consistent denial management processes
May 18, 2026

Accounts Receivable Adjustment Tagged...

Account receivable services don’t often feature prominently in legal proceedings, but a recent case from Ardent Health b...

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Home Health Billing Service
May 14, 2026

How Home Health Billing Denial Preven...

The home health revenue cycle has officially entered its “Prove It” era. For years, many home health agencies approache...

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Leveraging analytics
May 07, 2026

Which Tools Will CMS Use to Combat La...

The conversation around fraud in laboratory billing, especially in genetic and molecular diagnostics, is no longer theor...

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risk adjustment coding companies
May 05, 2026

Risk Adjustment & HEDIS in 2026: Why ...

In 2026, health plans, Medicare Advantage organizations, and risk adjustment coding companies across the US face growing...

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laboratory revenue cycle management
May 01, 2026

Growing Policy Limitations on IHC Sta...

In today’s US healthcare market, laboratory revenue cycle management (lab RCM) is no longer just about clean billing – i...

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Medical Coding
April 20, 2026

Why Generic AI Solutions Are a Risk f...

The healthcare revenue cycle has recently seen a flurry of coding solutions from some of the most recognized names in AI...

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Medical Billing
April 07, 2026

The CRUSH Healthcare Initiative Alrea...

Fraud detection has taken center stage with this administration, and the latest effort is the Comprehensive Regulations ...

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