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Incident To: Expanded Flexibility, Undefined Boundaries

Practice Management

Incident To: Expanded Flexibility, Undefined Boundaries
In 2026, CMS made a meaningful change to the incident to supervision requirements. It did not take long for this update to raise questions for compliance professionals, auditors, and practice leaders.
Medicare Has Revised Its Ten-Day Claims Hold Due to the Government Shutdown

Practice Management

Medicare Has Revised Its Ten-Day Claims Hold Due to the Government Shutdown
When the federal government shutdown began on October 1, 2025, the Centers for Medicare and Medicaid Services (CMS) directed all Medicare Administrative Contractors (MAC) to implement a temporary claims hold of up to 10 business days to ensure that Medicare payments would be accurate and consistent with statutory requirements.
Will Advancements in AI Take Over My Job as a Medical Biller or Coder?

Practice Management

Will Advancements in AI Take Over My Job as a Medical Biller or Coder?
What AI excels at is data analyzation and pattern detection. A large segment of practice management/billing/EHR systems are now integrating these AI features into their software.
Navigating Medicaid Changes in the Big Beautiful Bill

Practice Management

Navigating Medicaid Changes in the Big Beautiful Bill
Urgent Call to Action for Small Practices and Rural Clinics
HHS Publishes a Federal Register Notice on Requirements for the National Plan and Provider Enumeration System (NPPES) Data Changes

Practice Management

HHS Publishes a Federal Register Notice on Requirements for the National Plan and Provider Enumeration System (NPPES) Data Changes
The Department of Health and Human Services (HHS) is sending this announcement to inform interested parties of the Federal Register notice that displayed on July 30, 2025, and published today, July 31, 2025 in the Federal Register.
Insurance Denials Are on the Rise: How Medical Practices Can Take Back Control

Practice Management

Insurance Denials Are on the Rise: How Medical Practices Can Take Back Control
Running a medical practice today is more challenging than ever, largely because insurance denials and payment delays are increasing dramatically.
The Reimbursement Plateau: Breaking Through the Limits of Traditional RCM

Practice Management

The Reimbursement Plateau: Breaking Through the Limits of Traditional RCM
Providers today face increasing pressure, especially when outdated revenue cycle management (RCM) is hindering their financial and operational performance.
Data Unveiled: The Impact of VBC and AI on Preventive Care and Chronic Disease Management

Practice Management

Data Unveiled: The Impact of VBC and AI on Preventive Care and Chronic Disease Management
The conversation around chronic disease prevention remains critically important, both for ensuring patient and member health and achieving value-based care (VBC) goals of reducing healthcare costs and improving care quality.
The Shrinking Private Practice: Why Billing Expertise Can Be a Lifeline

Practice Management

The Shrinking Private Practice: Why Billing Expertise Can Be a Lifeline
As a professional in the field of medical billing and revenue cycle management (RCM), I ' ve witnessed firsthand the mounting pressure on independent physicians.
Foster Leadership Within Your Practice

Practice Management

Foster Leadership Within Your Practice
Running a successful medical practice requires more than clinical expertise-it demands strong, strategic business management. <strong>Physician Practice Management is NOT intuitive.
What the CMS-DOGE Collaboration Means for Medical Billing in 2025

Practice Management

What the CMS-DOGE Collaboration Means for Medical Billing in 2025
Picture this: the cool breeze calms the heat of the high plains sun.  You're a farmer, tending crops with tenderness and dedication Then, a new government plan steps in to inspect every seed you sow and every tool you use. You might feel delayed, derailed, frustrated by the lack of freedom.

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