Resources

Why This Matters: The Cost of Missed Doppler Add-On Revenue  Transesophageal Echocardiography (TEE) Doppler imaging is increasingly standard in cardiac care, but many coding and ... Read more

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QUICK ANSWER: Medicare reimburses waste from single-dose/single-use vials when the correct JW (waste documented) or JZ (zero waste) modifier is reported. Multi-dose vials don’t qualify. ... Read more

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Healthcare IT veteran joins Ventra to deepen client partnerships, accelerate its AI strategy and support Ventra’s next chapter of growth Dallas, TX – May 15, ... Read more

Enrollment delays can create far-reaching financial and operational challenges—from denied payments and delayed reimbursement to hidden revenue leakage. As Managed Medicaid continues to grow, organizations ... Read more

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Value-based care has raised the bar for how providers demonstrate their role in a patient’s episode of care. The Centers for Medicare & Medicaid Services ... Read more

Sepsis remains one of the most challenging conditions across the continuum of acute care. Its presentation can be subtle, its progression rapid, and its management highly dependent ... Read more

As revenue cycle pressures intensify, healthcare organizations are being forced to rethink how they approach patient payments and overall financial strategy. In this Becker’s Hospital ... Read more

A revenue cycle reality check for 2026 As healthcare policy shifts reshape coverage and costs, patient responsibility is quickly becoming one of the most critical ... Read more

Hospice patients who present to the emergency department often require urgent evaluation for conditions that may or may not be related to their terminal illness. ... Read more

Strategy, AI, and the New Economics of Radiology  RBMA Paradigm 2026 brought radiology leaders together at a moment when the industry is facing rapid acceleration—of ... Read more

The Centers for Medicare & Medicaid Services (CMS) has proposed a 0.09% increase in Medicare Advantage (MA) payments for 2027, amounting to over $700 million ... Read more

Managing joint vs. non‑joint uncertainty at the time of ordering Accurate MRI authorization starts with a clear understanding of what is being imaged. For upper ... Read more

Continuing from last month’s Telemedicine Tips, which included guidance and resources, this month’s focus shifts toward the appropriate documentation for prolonged telemedicine visits. While telemedicine ... Read more

By Jamie Shoemaker, MD, FACEP When deployed thoughtfully in revenue cycle management (RCM), AI is not about replacing clinicians or coders—it’s about defending the care ... Read more

By Jessica Carden, PESC Senior Director, Provider Enrollment One of the most important trends in Medicaid today is the continued growth of Managed Medicaid enrollment. In ... Read more

Anesthesia practices operate in some of the most operationally complex billing environments in healthcare. They face high patient volumes, time-based billing requirements, detailed documentation standards, ... Read more

Congress passes spending bill, extended Telehealth Flexibilities  Congress has extended the expiration dates for certain telehealth flexibilities from Jan 30, 2026, to Dec 31, 2027 (unless otherwise stated), as follows:  ... Read more

By Nettie McFarland, RHIT, CCS-P, CHC Director, Provider Education Support Artificial intelligence (AI) is reshaping documentation in emergency medicine. Voice-to-text, ambient scribing, and predictive charting ... Read more