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Medicaid rarely changes with one “big announcement.” Most updates show up as state fee schedule notices, plan amendments, and operational guidance—and then you feel the impact later through denials, slower payments, and patient coverage gaps. For 2026, here are the most important Medicaid realities practices should plan around: fee schedules (state-by-state), telehealth compliance, and enrollment/renewal […]

Artificial intelligence is rapidly reshaping the healthcare industry, and medical coding is one of the areas receiving the most attention. With AI-powered medical coding software now capable of scanning clinical notes and suggesting CPT, ICD-10, and HCPCS codes, many healthcare professionals are asking an important question: will AI replace medical coders? The concern is understandable.

The medical billing industry is entering a major transition in 2026 with the introduction of hundreds of new CPT codes focused on digital health, artificial intelligence (AI), and advanced care models. These updates, released by the American Medical Association, will directly impact how healthcare providers document services, submit claims, and receive reimbursement. For practices that

Running a small medical practice in 2025 isn’t just about patient care anymore. Between rising operating costs, tighter payer rules, and constant policy changes, medical billing has become one of the biggest pressure points for small and mid-sized practices. Small medical practices don’t lose revenue because they lack patients. They lose it quietly through billing

  Running a small medical practice is already challenging—between patient care, staffing, compliance, and admin work, revenue often becomes an afterthought. Unfortunately, this is exactly where many practices lose thousands of dollars every month without realizing it. The root cause is rarely patient volume. In most cases, it’s inefficient medical billing. This blog breaks down

As 2025 Comes to an End, Telehealth Billing Is No Longer Optional Telehealth is no longer a “pandemic workaround.” As we close out 2025, virtual care, remote patient monitoring (RPM), and mobile health (mHealth) services have become a permanent part of how practices deliver care. But here’s the problem many providers are facing: The care

Insurance claim denials 2025 are becoming one of the biggest challenges for providers across the U.S. With new payer rules, tighter documentation requirements, and constant policy shifts, even well-managed clinics are seeing a rise in rejected claims. For small and medium practices, these denials can disrupt cash flow, delay reimbursements, and drain administrative time. In

Medical billing in 2025 is not what it used to be. With new coding changes, payer rules shifting faster than physicians can keep up, and AI-assisted documentation requirements, even well-run clinics are struggling to maintain clean claims and predictable revenue. For private practices especially family medicine and primary care billing has moved beyond an administrative

Every medical practice is unique, and so are its billing challenges. A one-size-fits-all approach often leaves providers struggling with inefficiencies, errors, and delayed payments. That’s why tailored billing solutions have become a game changer in healthcare offering customized strategies that align with the specific needs of each practice. In today’s fast-paced healthcare environment, billing is

In today’s complex healthcare landscape, effective revenue cycle management (RCM) is critical to maintaining the financial health of any medical practice. From patient registration to final payment collection, every step in the revenue cycle must be executed with precision. Yet, many practices—regardless of size or specialty—encounter recurring mistakes that disrupt cash flow, increase claim denials,