In Billing
Apr 1st, 2026
April 3 ushers in a new Medicaid final rule. If you work in revenue cycle management, it’s likely you noted the Medicaid Provider Tax Rule 2026 “Preserving Medicaid Funding for Vulnerable Populations – Closing a Health Care-Related Tax Loophole” when it was finalized by the Centers for Medicare & Medicaid Services (CMS) on Jan. 29, ...
In Billing
Mar 30th, 2026
The Centers for Medicare & Medicaid Services (CMS) has released an updated Medicare Outpatient Observation Notice (MOON) form and Advance Beneficiary Notice of Noncoverage (ABN) form. CMS says the updates improve “readability and design.” If you have the old forms, you may continue to use them until the new forms take effect. Start Using New ...
Why algorithmic decision-making in insurance denials is forcing regulation. During the Healthcare Business Management Association’s (HBMA’s) 2025 fall conference, one issue dominated every panel, corridor conversation, and informal breakfast meeting: Insurers are using artificial intelligence (AI) to deny claims at an alarming scale. The statistics I heard were disturbing. Cigna’s algorithm denied ...
Feb 25th, 2026
REVCON by AAPC, held virtually Feb. 24-25, addressed key issues on most revenue cycle specialists’ minds these days. At the forefront is artificial intelligence (AI) and its operational impact on both healthcare providers and insurance companies (payers). Industry leaders answered these and many other questions, going beyond theory and offering actionable strategies for navigating the ...
Protect your practice’s revenue through strategic credentialing management. When healthcare organizations invest in physician recruitment, it’s crucial to have an effective credentialing management process to ensure sustainable operations and revenue flow. Credentialing delays cause measurable daily revenue losses, add to staff task time, and decrease new-provider satisfaction during onboarding. R...