For Calendar Year 2026 Centers for Medicare and Medicaid (CMS) has finalized the definition for “substantive portion” as it pertains to Split Shared E/M Visits....
Key Takeaways Medical billing submits claims using CPT and ICD codes while revenue cycle management extends upstream to include eligibility verification, prior authorization, and patient...
Key Takeaways A clearinghouse pre -screens claims for errors and reformats them to payer – specific EDI requirements before submission — claims that bypass a...
Key Takeaways AR follow -up is the function that determines whether a denied claim becomes recovered revenue or a permanent write -off — practices without...
For most organizations, December calls for a time for reflection and planning ahead. Within the constantly evolving healthcare industry, it is vital to keep pace...
