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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.

How Will the CMS TEAM Model Impact Home Healt...

Late last year, CMS introduced the Transforming Episode Accountability Model (TEAM). It addresses five surgical categories with the intent of improving the quality of care and reducing expenditures. This model directly impacts home health billing from multiple angles.

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TEAM Model
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U.S. Lab Billing Service
October 16, 2025

2025 CLFS Update: Essential Guidance ...

The 2025 Clinical Laboratory Fee Schedule (CLFS) update has given U.S. labs extra time to prepare for the upcoming Janua...

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2025 CPT PLA Code Update
October 12, 2025

2025 CPT PLA Code Updates Are Live: H...

Effective October 1, 2025, the American Medical Association (AMA) introduced 25 new Proprietary Laboratory Analyses (PLA...

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Laboratory Billing Services
October 08, 2025

The ABCs of Laboratory Billing: How P...

Running a pathology group or diagnostic laboratory is challenging enough – but revenue cycle challenges make it even har...

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medical billing best practices
September 19, 2025

7 Best Practices for Medical Billing ...

If you’re a U.S. healthcare provider searching for medical billing and coding services, you’re not alone. Thousands of p...

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Pathology Billing & Coding Service
September 17, 2025

6 Myths About Pathology Billing & Cod...

Running a pathology lab is hard enough without chasing down underpayments, resubmitting claims, or playing phone tag wit...

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Pathology Billing
August 12, 2025

The Pathologist's RCM Checklist: Are ...

Your pathologists are diagnosing cancer. But your billing team? They’re diagnosing something else entirely: denials, und...

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Revenue Cycle Management
July 03, 2025

Emerging U.S. Regulatory and Payer Tr...

U.S. clinical labs face mounting regulatory challenges and shifting payer dynamics that are fundamentally changing how l...

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Pediatric Billing
June 20, 2025

AAP Releases 2025 Pediatric Billing G...

A healthy patient financial experience is critical for pediatric providers. Errors in pediatric billing, coding or docum...

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Market-based logistics efficiency
March 12, 2024

Why Self Audits Are One of the Most V...

Medical coding audits are critical to a healthy revenue cycle, but with all the options, it is difficult to know where t...

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