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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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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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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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Pediatric Billing and Coding
October 08, 2024

Pediatric Billing and Coding Update f...

Pediatric billing and coding have undergone changes in recent years, and as provider offices head into 2025, it will be ...

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Market-based logistics efficiency
December 19, 2023

5 Signs Your Organization is Struggli...

OASIS-E went into effect January 1, 2023, putting providers under pressure to keep up. While many home health providers ...

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Market-based logistics efficiency
August 22, 2023

Why A New Look at Physician Medical B...

Challenges in physician medical billing have changed. From the impact of a pandemic, to shifts in government, to changes...

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