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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 Screening-to-Diagnostic Colonoscopy Conve...

In 2026, screening-to-diagnostic colonoscopy conversions remain one of the most overlooked reimbursement risks for gastroenterology practices across the United States. A routine clinical decision made during a colonoscopy can trigger denials, underpayments, payment delays, and audit exposure when documentation, coding, and payer requirements are not aligned.

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gastroenterology billing services screening diagnostic colonoscopy conversion modifier PT 2026
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accounts receivable services 2026 accounts receivable management services AR discipline hospital
July 31, 2026

Increasing Revenue Leakage Calls for ...

Sometimes in healthcare, times emerge when status quo approaches to revenue cycle strategy are no longer enough. This ti...

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orthopedic billing services PE-backed practice EBITDA revenue cycle medical billing
July 28, 2026

Why Orthopedic Billing Accuracy Is a ...

Orthopedic billing services are the specialized revenue cycle functions that manage claim submission, coding accuracy, p...

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physician billing services 2026 Medicare physician fee schedule conversion
July 22, 2026

The 2026 Medicare Physician Fee Sched...

CMS finalized the 2026 Medicare Physician Fee Schedule (MPFS) in October 2025, with policies effective January 1, 2026. ...

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McKinsey survey medical billing services USA outsource revenue cycle management
July 20, 2026

McKinsey Survey Highlights Reasons to...

As the healthcare landscape shifts, revenue cycle leaders face increasing pressure to answer tough strategic questions. ...

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laboratory revenue cycle management clinical lab billing services pathology billing services
July 17, 2026

What the 2026 OIG Lab Spending Data M...

For clinical laboratory and pathology executives, 2026 presents a reimbursement landscape that looks fundamentally diffe...

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accounts receivable management services healthcare outsourcing AR revenue
July 03, 2026

What to Look for in Accounts Receivab...

The U.S. medical billing outsourcing market – which encompasses accounts receivable management services, coding, claims ...

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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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OIG Medicare Advantage HCC risk adjustment coding audit 2026
June 07, 2026

OIG Flags $462 Million in Medicare Ad...

On June 1, 2026, the HHS Office of Inspector General published one of the most significant Medicare HCC risk adjustment ...

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