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

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

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

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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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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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

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

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