November 4th, 2026Medicare's final 2027 fee schedule cuts pay and changes same-day and G2211 billing for practicesPractices face a 2.31% conversion factor cut, a 20% same-day visit reduction and new E/M modifiers starting Jan. 1.Read more
November 4th, 2026A 15-year Botox sentence shows where cosmetic-adjacent billing is exposedTwo Medicare fraud cases, one over Botox and one over COVID-19 test kits, map the chart and claims gaps practices should audit now.Read more
November 4th, 202611 payer mix moves to make now that the midterms are overDemocrats won Congress, but the Jan. 1 Medicaid work rules still stand. Here's how to budget your 2027 payer mix around what changed and what didn't.Read more
November 4th, 202618 ways to protect your practice now that HHS cut 14 EHR certification rulesThe federal checklist behind your EHR shrinks Dec. 28. Lock down your contract, MIPS reporting and referral workflows while you have leverage.Read more
November 3rd, 202615 things to know about Medicare’s Advanced Primary Care Management codesMedicare’s monthly bundled codes pay primary care for work between visits. Most practices have not tried them yet.Read more
November 3rd, 202610 coverage checks to run before 'not covered' denials hit your January claims'Not covered' is now the top denial reason, and UnitedHealthcare's pediatric code lists don't match. Run these checks before Dec. 1.Read more
November 2nd, 2026Before patients ask: what practices should know about flu seasonThe 2026-2027 respiratory season is just about here. There’s still time to vaccinate patients, experts say.Read more
November 2nd, 20262 appeals courts block suits over unpaid No Surprises Act awards. Here's what practices can still doThe 2nd and 5th circuits won't let providers sue over unpaid IDR awards. Here are the routes left and how to reserve for money that may never come.Read more