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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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Market-based logistics efficiency
November 17, 2025

Tips On Outsourcing Medical Billing f...

Rural health news has been increasingly unpredictable in recent years. At the announcement of the One Big Beautiful Bill...

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Market-based logistics efficiency
October 31, 2025

Risk Adjustment Services Update: 2023...

Risk adjustment audits are changing again, and leaders in charge of risk adjustment services should take note as the imp...

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Market-based logistics efficiency
October 29, 2025

Can Urine Toxicology Lab Services Be ...

With telehealth now a mainstream mode of care, many pathology labs, clinical laboratories, and behavioral health provide...

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Market-based logistics efficiency
October 27, 2025

Accuracy Isn't Enough in Risk Adjustm...

Accuracy gets all the attention in risk adjustment coding, and rightly so. It’s the backbone of compliance, reimbursemen...

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U.S. Lab Billing Service
October 16, 2025

2025 CLFS Update: Essential Guidance ...

The 2025 Clinical Laboratory Fee Schedule (CLFS) update has given U.S. labs extra time to prepare for the upcoming Janua...

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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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2025 CPT PLA Code Update
October 12, 2025

2025 CPT PLA Code Updates Are Live: H...

Effective October 1, 2025, the American Medical Association (AMA) introduced 25 new Proprietary Laboratory Analyses (PLA...

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Laboratory Billing Services
October 08, 2025

The ABCs of Laboratory Billing: How P...

Running a pathology group or diagnostic laboratory is challenging enough – but revenue cycle challenges make it even har...

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Outsource Medical Coder
September 29, 2025

Deloitte Survey Indicates Now Is a Gr...

As the challenges in the U.S. healthcare landscape continue to become more complex, healthcare revenue cycle leaders acr...

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