In today’s complex healthcare landscape, medical billing services are facing a quiet but powerful disruptor: errors in place of service (POS) codes for medical billing. These mistakes may seem minor, but they’re
The 2026 Medicare Advantage Final Rule and What It Means for Medical Coding Risk Adjustment
The Centers for Medicare & Medicaid Services’ (CMS) CY 2026 Rate Announcement introduces significant updates that directly impact medical coding risk adjustment, revenue cycle operations, and overall reimbursement strategy. As healthcare leaders evaluate their prospective risk adjustment strategies in light of these changes, understanding the
The Top Medical Billing Errors and How to Address Them in a Time of Deregulation
The healthcare revenue cycle is undergoing significant transformation, driven by evolving regulations, shifting payer policies, and increasing administrative burdens. For revenue cycle leaders, these changes present both challenges and opportunities, especially in optimizing medical billing accuracy and choosing a medical billing outsourcing company partner.
With the current administration promising more deregulation in
Introduction to the CERT Program: Enhancing Compliance and Reducing Risk
For revenue cycle leaders, maintaining compliance while minimizing financial risk is an ongoing challenge. As healthcare entities continue to see increasing risk from changes to government policies, shifting patient demographics, and shrinking margins, risk management will become an increasingly essential focus for survival. One of the most effective tools for achieving risk management goals is examining the application of Comprehensive Error Rate Testing (CERT) and how it impacts organizations that deal
Why You Need Medical Coding Outsourcing Companies in 2025
The healthcare industry in the United States is undergoing rapid transformation. As 2025 develops, healthcare leaders face increasing pressure to manage their revenue cycles with
