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Latest posts
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⚖️ The Compliance Lag: Why Billing Teams Struggle to Keep Pace with Regulatory Changes
Why Staying Current Feels Impossible Keeping up with payer policies and government regulations used to be a quarterly task.Now, it’s a weekly scramble. From CMS’s 2025 Final Rule to mid-year commercial payer policy edits, the volume and velocity of change in healthcare billing is staggering. What’s making this harder: The result?Claims get denied, money gets…
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📚 Training Fatigue: Why Annual Compliance Training Isn’t Enough
The Problem with the Once-a-Year Approach Let’s face it: most annual compliance training is forgettable.Employees click through generic modules, pass a quiz, and move on—only to forget 80% of what they learned within a few weeks. In high-risk environments like billing, coding, patient access, and clinical documentation, this leads to: Annual training may check the…
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The $500,000 Lesson: Why Every Revenue Cycle Team Must Document Like Lawyers
How Clear Notes in EHRs Save Revenue, Reduce Call Volume, and Win Appeal “A hospital lost $497,000 because a front desk note simply said ‘insurance verified’ instead of including the verification number. The judge called it ‘insufficient evidence’ – and that’s becoming the rule, not the exception.”* Why Your EHR Notes Are Now Legal &…
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Telehealth Billing: Navigating the New Rules to Get Paid Faster: How to Avoid Costly Denials as CMS and Payers Tighten Virtual Care Requirements
The $3.2 Million Telehealth Mistake “A 35-provider behavioral health group lost $3.2M in 2024 revenue because their billing team missed just one CMS telehealth modifier update. With 2025’s expanded documentation requirements, such errors could bankrupt smaller practices.” Telehealth now accounts for 28% of all claims (FAIR Health), but payer rules are becoming more complex, not…