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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.

Preparing for CLFS Reimbursement Changes: Why...

Laboratory revenue cycle management encompasses every operational process connecting clinical laboratory services to collected Medicare reimbursement – and in August 2026, it has become the most actionable lever available to laboratory executives preparing for a confirmed payment shift. The Consolidated Appropriations Act, 2026, signed February 3, 2026, delayed all PAMA-related Clinical Laboratory Fee Schedule (CLFS) rate reductions through December 31, 2026 – the seventh Congressional intervention since PAMA was enacted [1]. But the reprieve is temporary.

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Laboratory revenue cycle management review of billing accuracy, denials, reimbursement trends, and 2027 CLFS readiness
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Healthcare Revenue Cycle
July 12, 2025

Study Supports New Codes in Radiology...

As radiology medical billing stands now, revenue cycle processes don’t accurately reflect the extensive work they do out...

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Outsourced Medical Billing in 2025
May 23, 2025

Outsourced Medical Billing in 2025: A...

The medical billing outsourcing market is experiencing unprecedented growth, with the global market size projected to re...

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Market-based logistics efficiency
September 12, 2023

Changed Your Service Lines? It's Time...

In the wake of COVID, budget crunches, and labor shortages, many hospitals and health systems have been making the smart...

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Pathology Revenue Health Check
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Laboratory revenue cycle management review of billing accuracy, denials, reimbursement trends, and 2027 CLFS readiness
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