Risk Adjustment Solutions for 2027: Moving fr...
Risk adjustment solutions for Medicare Advantage organizations are entering 2027 under a confirmed payment environment and a set of operational changes that require adaptation before January 1. CMS's April 2026 Rate Announcement projects MA payments to increase by 2.48% – over $13 billion – in CY 2027, while CMS expects MA risk scores to increase by 2.50% on average due to underlying coding trends [1]
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July 22, 2026
The 2026 Medicare Physician Fee Sched...
CMS finalized the 2026 Medicare Physician Fee Schedule (MPFS) in October 2025, with policies effective January 1, 2026. ...
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May 24, 2026
RPM Billing in 2026: A Day in RPM Ser...
Remote Patient Monitoring (RPM) billing sounds like one of those healthcare ideas that should be simple: Patients stay h...
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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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April 11, 2023
What the End of the Public Health Eme...
The COVID-19 Public Health Emergency (PHE) is ending as of May 11, 2023, and home health billing leaders should be prepa...
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January 31, 2023
Tips for Pediatric Billing and Coding...
As 2023 kicks off, now is a great time for pediatric revenue cycle leaders to take a step back and review ways they can ...
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August 16, 2022
Telehealth Billing Update for Medical...
The COVID-19 pandemic has been a boon for telehealth, pushing much of the industry to move forward on remote care where ...
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August 02, 2022
What the Potential Cut to Medicare Ho...
Home health companies will want to pay attention to recent news coming from the White House. This is because it can impa...
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July 19, 2022
2022 Hospital Revenue Cycle Outsourci...
With the challenges hospital leaders are facing today, hospital revenue cycle outsourcing should always be on the table....
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September 10, 2021
4 Tips for Physician Billing Services...
While COVID-19 “changed everything”, the change hasn’t stopped. Physicians will find that, even as things are settling d...
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