Category: Blog
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2027 Reimbursement Changes: What Healthcare Providers Need to Know
2027 reimbursement changes will affect every specialty differently. See how specialty-specific RCM can help healthcare organizations navigate complexity, protect revenue and get paid accurately.
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Revenue Leakage Begins at the Front End of the Revenue Cycle
Learn how front-end revenue cycle processes can prevent revenue leakage, reduce denials and improve reimbursement for specialty practices.
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How Agentic AI and Prior Authorization Will Change Revenue Cycle Management in 2027
Agentic AI and new CMS prior authorization requirements are reshaping revenue cycle management. See how AI can reduce manual work, prevent denials and strengthen financial performance in 2027.
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Skilled Nursing Facility Billing vs. Revenue Cycle Management: What’s the Difference?
Skilled nursing facility billing and revenue cycle management are often used interchangeably, but the distinction matters. Learn how a comprehensive RCM strategy goes beyond billing to prevent denials, protect reimbursement and strengthen financial performance.
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The New Economics of Orthopedics: Why ASCs Are Changing the Revenue Cycle
ASCs are changing the economics of orthopedic practices. Learn how orthopedic revenue cycle management must evolve to protect margin and growth.
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How to Build a Billing Operation That Can Withstand Pre-Payment Reviews in Behavioral Health
Clinical and financial teams that work from the same standards produce stronger documentation, more consistent reimbursement, and fewer operational disruptions.
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Proposed 2027 Medicare Modifier 25 Change Could Have a Financial Impact Across Specialties
CMS has proposed a 2027 Medicare Modifier 25 change that could significantly affect physician reimbursement across specialties.
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CMS Increased Skilled Nursing Facility Payments for FY 2027: What the SNF PPS Final Rule Means for Your Revenue Cycle
The FY 2027 SNF PPS Final Rule does more than increase Medicare payments. Learn how skilled nursing facility revenue cycle management, PDPM accuracy, documentation, quality reporting, and billing performance directly impact reimbursement, compliance, and financial results.
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Why Multi-Specialty Billing Services Are More Prone to Coding Errors
Without standardized processes and specialty-specific oversight, this complexity often leads to coding errors, higher denial rates, increased compliance risk, and delayed reimbursement.
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Expanded Federal Exclusion Authority: What SNFs Need to Know
CMS announced the deferral of more than $1 billion in federal Medicaid payments to California and Minnesota while the states provide additional documentation supporting certain high-risk claims.
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Beyond Billing: How Revenue Cycle Has Become a Strategic Advantage Under CMS’ New Risk-Based Survey Process
CMS’s recently announced Risk-Based Survey (RBS) process signals a significant shift in how facilities should think about revenue cycle.
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Pre-Payment Reviews Are Changing the Reimbursement Landscape
Staff who would normally focus on collections, patient care, or operational improvement are redirected to medical record requests, payer correspondence, documentation support, and appeals.