We’ve assembled the latest news for healthcare revenue cycle leaders to help you stay on top of industry challenges and adapt your revenue cycle
The No Surprises Act Is in Jeopardy, But Providers Should Stay the Course
Recent federal layoffs have added a new layer of uncertainty for providers impacted by the No Surprises Act.
The federal office responsible for implementing this critical legislation faces staffing cuts, so revenue cycle leaders must stay proactive to mitigate the impact of surprise billing on their organizations. While the future of surprise billing legislation may be in limbo, providers can take actionable steps to strengthen their revenue cycle operations, including leveraging medical billing services and partnering with the best medical billing company in the USA to support compliance
Reviewing Recent Updates to Coding Split or Shared Visits
Split or shared visit coding has seen multiple updates over the last year, including new CPT codes, deletions, and revisions for 2025. For healthcare providers, medical coding services, and medical coding companies in USA regions, understanding these changes is essential to proper billing, a healthy revenue cycle, and
Trends of “New Work Models” in Rev Cycle Suggest Need for Outsourcing Partners
The healthcare revenue cycle has seen major trend upheaval lately, many of which have significant impact on how revenue cycle leaders should approach decisions around medical billing services in the USA.
Becker’s Healthcare has highlighted eight key trends, and one group in particular is a significant point of growth and adaptation for providers [1]. This is the category of “New Work Models”. It is a look at the
Risk Adjustment and Social Determinants of Health in Medicare Advantage and Medicaid
Revenue cycle leaders face increasing pressure to manage costs, optimize revenue, and improve revenue cycle functions. This has included more responsibility in understanding the intersection between risk adjustment coding and social determinants of health (SDOH). This intersection is critical to ensuring accurate reimbursement and optimizing revenue cycle outcomes, especially for Medicare Advantage and Medicaid populations, where SDOH significantly influences health outcomes and
