Revenue Cycle Blog.

Actionable intelligence, coding updates, and strategies to defend your practice's bottom line against aggressive payer algorithms.

Modifier 59
Medical Coding

The 2026 CMS Crackdown on Modifier 59 Unbundling

Learn how new AI algorithms are automatically denying distinct procedural services and how your surgical team can defend against them.

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A/R Management
A/R Management

Why Your >120 Day A/R Bucket is Bleeding Cash

If your >120 day bucket exceeds 15% of your total A/R, you have a systemic operational failure. Here is the 3-step protocol to fix it.

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Credentialing
Practice Operations

The Hidden Cost of Provider Credentialing Delays

Why most independent practices lose up to $30,000 in unbillable services when onboarding a new physician, and how to fast-track the process.

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Denials
Denial Prevention

The Epidemic of "Not Medically Necessary" Denials

How payers use AI to cross-reference LCDs and ICD-10 specificity, and why CO-50 denials are surging across surgical specialties.

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Prior Auth
Compliance & Regulations

The 2026 CMS Prior Auth Mandate: What You Need to Know

New CMS interoperability rules are drastically shrinking turnaround times. Here is how your front desk must adapt to avoid CO-197 denials.

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Patient Collections
Patient Access

Stop Acting Like a Bank: How to Collect Patient Balances Upfront

With High-Deductible Health Plans dominating the market, chasing patient balances on the back-end is a guaranteed path to bad debt.

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