Resources

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

Explore our Radiology Revenue Cycle Management Services Use up and down arrow keys to resize the meta box pane. → Talk to an Expert

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

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

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

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 Program (QPP) and the Merit-based Incentive Payment System ... Read more

Accurate documentation of independent interpretations plays a critical role in supporting compliant coding and can be the difference between assigning an E/M level 99284 or ... Read more

Reporting Outside Image Reviews When a radiologist is asked to provide a “second opinion” or “overread” of images acquired at an outside facility, the service ... Read more

Effective 2027, CPT changes are coming to the Labor and Delivery section of the CPT code set. The good news for anesthesia providers: these changes ... Read more

By Jessica Carden, PESCSenior Director, Provider Enrollment CMS is continuing to crack down on providers, revoking their eligibility to receive reimbursement for services rendered to ... Read more

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Explore our Emergency Medicine Revenue Cycle Management Services. → Talk to an Expert

Now that we are halfway through 2026, it is a good time to confirm that billing workflows, systems, and templates reflect the CPT changes that took effect ... Read more

Released July 14, 2026  |  Comment period open through September 14, 2026 Summary On July 14, 2026, CMS released the CY 2027 Medicare Physician Fee ... Read more

By 2026, 75% of U.S. health systems are using at least one AI application but most are still automating tasks in isolation, not transforming outcomes. ... Read more