Resources

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

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