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Tag: E/M coding changes

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9 In-House Credentialing Mistakes to Avoid in 2026

Key Takeaways Parallel processing of credentialing and payer enrollment, rather than sequential steps, shortens total time-to-billing by 45 to 60 days for a new provider....

How to Manage Denials Post-OBBBA

Key Takeaways Eligibility verification at every visit, not appeals or coding fixes, is the fastest way to stop Medicaid coverage churn from turning into denied...

Sinus Surgery Reimbursement: Why FESS Claims Trigger Payer Recoupments (and How to Defend Them)

Key Takeaways Sinus surgery reimbursement recoupment happens when payers reprocess paid FESS claims, apply reductions retroactively, and offset the difference against a practice’s current remittances....

REMS-Ready Spravato Billing: The Compliance Checklist Every Practice Needs

Key Takeaways Spravato REMS billing compliance is a payment prerequisite — a practice must be a REMS-certified healthcare setting, with an enrolled prescriber and enrolled...

Top 10 RCM Companies in Arizona for 2026: Best Revenue Cycle Management Partners

Key Takeaways Selecting an RCM partner in Arizona depends on matching specialty, payer mix, and revenue gaps to a provider’s proven denial-prevention and accounts receivable...

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