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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.

Preparing for CLFS Reimbursement Changes: Why...

Laboratory revenue cycle management encompasses every operational process connecting clinical laboratory services to collected Medicare reimbursement – and in August 2026, it has become the most actionable lever available to laboratory executives preparing for a confirmed payment shift. The Consolidated Appropriations Act, 2026, signed February 3, 2026, delayed all PAMA-related Clinical Laboratory Fee Schedule (CLFS) rate reductions through December 31, 2026 – the seventh Congressional intervention since PAMA was enacted [1]. But the reprieve is temporary.

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Laboratory revenue cycle management review of billing accuracy, denials, reimbursement trends, and 2027 CLFS readiness
providers:
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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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Healthcare breach
January 29, 2026

Hospitals Missed Change Attack Relief...

Revenue cycle leaders questioning the value of outsourced medical billing services should consider the case of recent re...

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Market-based logistics efficiency
August 03, 2021

Rethinking Outsourced Medical Coding ...

The pandemic “changed everything”—and “everything” should include how you answer the question, “should we outsource medi...

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