Switching EHR Systems for a New Biller: The Revenue Risk

TL;DR: Switching EHR systems to suit a billing vendor rarely moves your revenue rules with your...

CPT 93306: Why Echo Claims Deny When the Diagnosis Matches

TL;DR: CPT 93306 is the complete transthoracic echo with spectral and color flow Doppler built in....

Medical Billing Company That Works in Our EHR: What to Ask

TL;DR: You do not have to switch software to outsource billing. A medical billing company that...

WISeR Model States and Services: Full List and A/R Impact

TL;DR: CMS sets the WISeR model states and services: Original Medicare claims in Arizona, New...

Cardiology Billing for Complex Procedures: Code Change Risks

TL;DR: Code changes are not only a coding problem. For cardiology practices, they can become a...

2027 Medicare Physician Fee Schedule: Dermatology Down 9%

TL;DR: The 2027 Medicare Physician Fee Schedule proposal pays only the most expensive same-day...

Dermatology Billing: The Hidden Revenue Issues to Fix

TL;DR. Dermatology billing runs a denial rate near 14 percent, against a 5 percent industry norm....

CMS WISeR Model: What It Does to Your Medicare A/R

TL;DR. The CMS WISeR model adds Medicare prior authorization in six states. It runs from 2026...

CO-186 Denial Code: How to Appeal Payer Downcoding

TL;DR. The CO-186 denial code means a payer changed the level of care you billed. In plain terms,...

Allergy Testing Billing for ENT Practices: Fix the Leaks

TL;DR. Allergy testing billing is unit math, and unit math is where the money leaks. Skin tests...