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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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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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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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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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Healthcare Revenue Cycle Management
October 14, 2025

How to Modernize Your Healthcare Reve...

Healthcare organizations face constant pressure: rising medical billing denials, delayed reimbursements, evolving regula...

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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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Medical Coding Audit
July 08, 2025

Medical Coding Audits 101: How Physic...

You’re wrapping up a 10-hour shift. One more note to finish, one last patient to call – and then someone from billing wa...

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Value of Medical Coding Audits
July 06, 2025

Keeping Up with E/M Coding Changes in...

Medical coding audits have become increasingly necessary over recent years for various reasons. Medical coding guideline...

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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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Medical Coding Solutions
May 28, 2025

Medical Coding Audits: The Silent Gua...

Imagine this: A routine payer audit uncovers $250,000 in penalties – all due to overlooked coding errors and cloned note...

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