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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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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

Explore our Anesthesia RCM & Billing Services. → Talk to an Expert

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