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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.

Which Tools Will CMS Use to Combat Lab Fraud?...

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

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Leveraging analytics
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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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Accounts Receivable Management
March 26, 2026

How Artificial Intelligence Is Transf...

Revenue cycle management in medical billing has always been driven by expertise, disciplined workflows, and compliance-f...

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Accounts Receivable
February 19, 2026

Why 2026 Is the Year Practices Must R...

For U.S. healthcare providers, 2026 represents a genuine inflection point for accounts receivable (AR) – driven by sever...

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Laboratory Billing Services
February 05, 2026

Medicare Clawbacks on PCR UTI Testing...

Medicare clawbacks related to urinary tract infection (UTI) testing are no longer isolated compliance events. As we move...

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Market-based logistics efficiency
January 12, 2026

Home Health Quality Reporting & OASIS...

As Home Health Agencies (HHAs) move into 2026, the finalized CMS CY 2026 Home Health Prospective Payment System (HH PPS)...

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Market-based logistics efficiency
January 03, 2026

Five Everyday Revenue Cycle Mistakes ...

In U.S. healthcare, small process gaps can have big financial consequences. The revenue cycle – from patient registratio...

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Revenue Cycle
August 22, 2025

Highlights of the ICD 10 Codes 2026 f...

The upcoming ICD-10 codes for 2026 promise pertinent changes for revenue cycle departments. To help your leadership prep...

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Anesthesia Billing Services
July 22, 2025

2025 CPT Code Updates for Anesthesia ...

Anesthesia billing is increasing in complexity, and healthcare revenue cycle leaders should be ready to make adjustments...

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