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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. Healthcare Practices
September 04, 2025

8 Essential Questions on Provider Enr...

Imagine this medical billing and credentialing scenario: You’ve hired a new physician. Their start date is set. Patients...

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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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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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Revenue Risks Only a Medical Coding Audit
April 21, 2025

The Hidden Revenue Risks Only a Medic...

In the high-stakes world of healthcare finance, where razor-thin margins and rising regulatory scrutiny are the norm, me...

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Physician's Guide to Financial Success
April 17, 2025

Mastering Payor Contracting: A Physic...

Physician practices face mounting financial pressures from rising operational costs, increasing claim denials, and compl...

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Providers Should Stay the Course
March 13, 2025

The No Surprises Act Is in Jeopardy, ...

Recent federal layoffs have added a new layer of uncertainty for providers impacted by the No Surprises Act. The federal...

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Reviewing Recent Updates to Coding Split
March 04, 2025

Reviewing Recent Updates to Coding Sp...

Split or shared visit coding has seen multiple updates over the last year, including new CPT codes, deletions, and revis...

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Healthcare Upcoding
November 04, 2024

Healthcare Leaders Are Increasingly C...

The risks around upcoding have incentivized many healthcare providers to consider medical coding outsourcing companies, ...

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Physician Billing Service
August 12, 2024

How the No Surprises Act Has Impacted...

The No Surprises Act (NSA) brought with it large amounts of speculation on its impact on physician billing services, and...

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