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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.

Why Ambulatory Surgical Center Billing Requir...

Ambulatory Surgery Centers (ASCs) are one of the fastest-growing segments of U.S. healthcare. Advances in minimally invasive techniques, improved anesthesia, and increasing patient demand for lower-cost care continue shifting complex surgical services out of hospitals and into outpatient surgery settings.

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ambulatory surgical center billing ASC medical billing ASC medical coding 2026
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home health billing services audit compliance
June 17, 2026

Why Home Health Billing Services Are ...

On May 13, 2026, the Centers for Medicare and Medicaid Services imposed an unprecedented nationwide six-month moratorium...

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outsourcing medical billing healthcare accounts receivable management revenue cycle 2026
June 10, 2026

Outsourcing Medical Billing for Healt...

Most healthcare organizations don't decide to outsource medical billing because of a single crisis. The decision builds ...

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denial prevention vs denial management healthcare revenue cycle
June 08, 2026

Denial Prevention vs. Denial Manageme...

In 2025, U.S. hospitals spent $18 billion overturning claims denials. Not losing those claims. Not writing them off. Ov...

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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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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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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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TEAM Model
January 27, 2026

How Will the CMS TEAM Model Impact Ho...

Late last year, CMS introduced the Transforming Episode Accountability Model (TEAM). It addresses five surgical categori...

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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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