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Healthcare Articles & Industry Insights

Your trusted source for expert insights on medical billing, coding, revenue cycle management, credentialing and healthcare operations. Stay informed with analysis and guidance built for practice leaders and healthcare administrators, updated regularly to keep you ahead of industry shifts. 

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2027 Maternity Coding Changes: How to Handle the Transition

2027 Maternity Coding Changes: What OB Practices Need to Know

Key Takeaways The 2027 maternity coding changes delete 17 CPT codes, including

Z Codes in Medical Billing: What They Are & When to Use

Z Codes in Medical Billing: What They Are and When You Can Use Them

Key Takeaways SDOH Z codes (Z55-Z65) can only ever be reported as

CPT 90838 with 99215: Denial vs. Coding Error Explained

Billing 90838 with 99215: Why a Payer Denial Doesn’t Mean You Should Downcode

Key Takeaways Billing 90838 with 99215 is CPT-permitted when the E/M and

Prior Authorization for GLP-1: What Providers Need to Know

Prior Authorization for GLP-1 Medications: What Providers Need to Know

Key Takeaways GLP-1s require prior authorization because the same drug can be

AB 1041: What California Providers Need to Know

AB 1041: What California Providers and Health Plans Need to Know About the New Credentialing Law

Key Takeaways AB 1041, authored by Assemblymember Bennett, was signed into law

CMS 0057: What Providers Need to Know About the New Prior Authorization Rule

CMS 0057: What Providers Need to Know About the New Prior Authorization Rule

Key Takeaways CMS 0057 (CMS-0057-F) regulates payers, not providers, but reshapes prior

CountyCare Prior Authorization Changes 2026: What Providers Must Know

CountyCare Prior Authorization Changes 2026: What Illinois Providers Need to Know

Key Takeaways Illinois practices billing CountyCare must cross-reference every medical-benefit drug they

Remote Patient Monitoring Companies in 2026 (Top 10 Ranked)

Top 10 Remote Patient Monitoring Companies in 2026

Key Takeaways Remote patient monitoring reached nearly one million Medicare enrollees in

8 Ways Outsourced Credentialing Improves RCM

8 Ways Outsourced Credentialing Improves RCM

Key Takeaways Practices exploring outsourced credentialing RCM improvements should know that accurate

In-House Credentialing Mistakes to Avoid

9 In-House Credentialing Mistakes to Avoid in 2026

Key Takeaways Parallel processing of credentialing and payer enrollment, rather than sequential

Neolytix Identifies an Average of $341K in Payer Contract Revenue Opportunities — Get Your Assessment Done Today