10 New HCPCS Codes Hit Home Health Billing: What Agencies Need to Know in 2026
Home health billing is changing again and agencies need to keep a close eye on the latest HCPCS updates. For the October 2026 update, the Centers for Medicare & Medicaid Services (CMS) is adding 19 new HCPCS codes to the Home Health (HH) Prospective Payment System (PPS) consolidated billing non-routine supply list. The change takes […]
Billing Compliance and HIPAA Requirements: Essential Guide for Providers
In April 2025, OCR settled with Northeast Radiology, a clinical imaging provider operating across New York and Connecticut, for $350,000. The cause wasn’t a dramatic hack — it was unauthorized access to radiology images sitting on an unsecured PACS server for the better part of a year, exposing nearly 300,000 patients’ records. The organization’s real […]
10 Common Medical Billing Errors And How To Prevent Them
Medical billing is more than entering codes and sending claims to insurance companies. Every claim must contain accurate patient information, correct codes, proper documentation, payer-specific requirements, and timely submissions. Even a small mistake can result in a rejected claim, delayed reimbursement, additional administrative work, or lost revenue. For healthcare practices, preventing billing errors is often […]
Medical Billing ABN: Compliance Rules, Modifiers & Financial Responsibility
If your practice bills Medicare, you’ve probably run into a situation where a service might not get paid. Maybe it happens too often, maybe it’s not medically justified on paper or maybe Medicare simply doesn’t cover it. In moments like this, one small form decides who pays the bill, the provider or the patient. That […]
Why GI Practices Struggle with Unpaid Claims And How To Fix Them
Unpaid claims have a way of piling up quietly. A colonoscopy claim gets denied over a modifier issue, someone flags it for review, and then the next patient walks in, and the next, and somehow that claim is still sitting untouched sixty days later. Multiply that across a busy GI practice handling screening colonoscopies, capsule […]
Ophthalmology Medical Billing in 2026: Key Coding Changes, Reimbursement Updates & Denial Prevention
Ophthalmology is one of the busiest, most procedure-heavy specialties to bill for. A single patient can move through a pre-op workup, cataract surgery, an intraocular lens decision, and a 90-day global period — all while the practice is also running a steady stream of OCT scans, visual fields, and fundus photography for other patients on […]
Why Neurology Billing Requires Specialty Expertise in 2026
If you run or manage a neurology practice, you already know that billing here doesn’t work like billing for a family medicine office. A single patient visit can involve a detailed evaluation and management (E/M) note, an EEG or EMG/NCS study, an infusion or injectable drug, and coordination with neurosurgery or rehab — all in […]
Why Is Hipaa Important For Billing And Coding?
If you work in a medical practice — or run one — you’ve probably heard the word “HIPAA” more times than you can count. But when it comes to billing and coding specifically, a lot of people treat HIPAA as just another checkbox. Something you put a policy about on your wall and move on. […]
AR Follow-Up in Medical Billing and How It Impacts Revenue
Unpaid claims don’t just sort themselves out. In many cases, practices send out claims and then move on, but without proper follow-up after submission, they end up leaving money on the table. As a result, that is exactly where revenue starts slipping through the cracks. When you let follow-up slide, your AR starts piling up. […]
Medical Billing Audit Process and Why It Matters for Compliance
Billing errors in healthcare escalate quickly. A missed modifier, incomplete documentation, or incorrect code can quickly lead to denied claims, delayed payments, and compliance risks. Many practices do not realize the impact until revenue drops or an audit is triggered. A structured medical billing audit catches these issues early and keeps your processes aligned with […]