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 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
Healthcare revenue cycle leaders are headed into uncharted territory under the new administration, but there are a few signs that can be useful in charting a path forward.
The first Trump administration featured a range of reductions in restrictions and loosening of prior regulations. For the healthcare revenue cycle, it’s impossible to know exactly what’s coming this term, but
Imagine this: A routine payer audit uncovers $250,000 in penalties – all due to overlooked coding errors and cloned notes. For many U.S. healthcare providers, this scenario is all too real. But with a proactive medical coding audit strategy, it doesn’t have to be. This blog explores how a strategic triad of coding audits, clinical documentation reviews, and
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 management services to the challenges of USA medical billing.
CMS has issued a proposed rule intended to close a loophole in Medicaid
