Insights & Resources
Practical, up-to-date guidance on Medicare rules, coding updates, denials, credentialing and revenue cycle strategy, written by people who work claims every day.
LatestMedicare & Policy
CMS finalized a 2.31% conversion factor cut, a new modifier in place of G2211, a same-day E/M payment reduction and stricter remote monitoring rules. Here is what each change means for your claims and what to update before January 1, 2027.
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Coding & Compliance
Medicare added short-duration RPM codes in 2026 and is tightening the rules for 2027. This guide walks through every RPM code, what the final rule changes on January 1 and the documentation that keeps your program audit-ready.
Denial Management
New 2026 survey data shows three in four providers see denials increasing, and "service not covered" is now the top reason. Here is what is driving it and the front-to-back process we use to bring denial rates down.
Medicare & Policy
Decision deadlines took effect in 2026, payer APIs are due January 1, 2027, and traditional Medicare is testing prior authorization in six states. Here is what is actually changing at the front desk and how to prepare.
Coding & Compliance
The FY 2027 ICD-10-CM update took effect October 1, 2026 with 190 new codes, 30 deletions and several common codes that are no longer billable. Here are the changes that matter most for cardiology, podiatry, OB/GYN, oncology and primary care.
Credentialing
A new provider who cannot bill is a cost with no revenue. This guide lays out a realistic credentialing timeline for Medicare, Medicaid and commercial payers, the documents to gather on day one and the mistakes that add months.
Practice Management
Most practices compare a biller's salary with an outsourcing fee and stop there. The real comparison includes benefits, software, turnover, management time and, most of all, how much revenue each option actually collects.
Our team tracks every payer and CMS update so your claims go out right the first time. Call (512) 368-3590 or book a free revenue review.
