Straight-talking articles on billing and revenue cycle, credentialing, state licensing and healthcare technology, written by the people who do this work every day for practices across all 50 states.
Starting December 31, 2026, states must redetermine Medicaid eligibility for expansion enrollees every six months instead of annually, doubling the frequency of…
Read MoreICD-11 isn't ICD-10-CM with more codes bolted on. It runs on a fundamentally different structure, post-coordinated stem and extension codes, a reorganized chapter…
Read MoreClean claim rate is the single clearest early indicator of whether a practice's front-end revenue cycle is working. This article covers exactly what the metric…
Read MoreA practical breakdown of the seven Medicare claim denial codes providers see most often, CO-50, CO-4, CO-16, CO-18, CO-29, CO-197, and CO-97, explaining what each…
Read MoreA practical, provider-focused comparison of AI and human medical coders in 2026, covering what AI coding tools do well, where human judgment still wins, the…
Read MoreA physician-first breakdown of five major U.S. healthcare developments from August 15 to 25, 2026: an FDA-cleared robotic blood draw device, the FDA's first GenAI…
Read MoreThe I50 heart failure code family looks straightforward until you're actually staring at a chart trying to decide between I50.22 and I50.9. This guide walks through…
Read MoreA practical guide explaining how and when to use Medicare modifiers GA, GX, GY, and GZ, the ABN rules behind them, and the most common billing mistakes that lead to…
Read MoreA June 2026 HHS OIG report found that the largest Medicare Advantage organizations deny rehabilitative care admissions at some of the highest rates in the…
Read MoreReading about denials, credentialing delays and licensing paperwork is one thing. Handing them to a team that does it every day is another. Tell us where it hurts and we will tell you honestly what we would do.
