These are the provider enrollment questions we hear most often from medical practice groups— on timing, revenue risk, and who owns what in the process. … Read more
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Provider enrollment is foundational to a healthy revenue cycle, yet many organizations continue to face challenges with credentialing, payer enrollment, compliance requirements, and provider onboarding. … Read more
By: Stacy Chaplain, Director, Provider Education If your billing team has ever submitted a provider query or flagged a claim before submission, there’s a specific reason behind the request. Radiology billing is … Read more
By: Cindy Triplett, CPC, CANPC, CPMA, Senior Director, Anesthesia Education, and Loren Ocampo, Provider Education Support Specialist Erector spinae plane (ESP) blocks have become a standard tool … Read more
Claim denials are one of the biggest drains on revenue cycle performance in healthcare. Every denied claim means delayed cash flow, added administrative work, and … Read more
CMS’s proposed CY 2027 Physician Fee Schedule rule could change how Qualifying APM Participant (QP) status is evaluated — shifting from the individual clinician level … Read more
The 2027 CMS Physician Fee Schedule Proposed Rule is here, bringing important updates to reimbursement policies and the Merit-based Incentive Payment System (MIPS). These changes … Read more
The Centers for Medicare and Medicaid Services (CMS) recently released the proposed CY 2027 Physician Fee Schedule (PFS), which includes updates to the Quality Payment … Read more
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