Latest posts
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Best Medical Billing Companies in OHIO
Ohio has a unique healthcare landscape with a strong emphasis on Medicaid Managed Care Organizations (MCOs) such as CareSource, Buckeye Health Plan, Molina Healthcare of Ohio, and Anthem. Practices must also navigate Medicare, commercial payers, and evolving regulations around behavioral health, telehealth, and value-based care. The best medical billing partners in Ohio deeply understand these
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Patient Responsibility Billing 2026: Strategies to Reduce Bad Debt with High-Deductible Plans | RevGen Billing
Practices actively collect more patient responsibility in 2026 by implementing smart billing strategies amid the surge in high-deductible health plans (HDHPs). With HDHP enrollment exceeding 50% of covered workers and average deductibles hovering around $1,800–$3,000+ for individuals (higher for families), patient balances now represent 30-40%+ of total practice revenue in many specialties. Uncollected patient portions
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Telehealth Billing Traps in 2026: New Codes, Rules, and How to Maximize Reimbursements Without Denials
Focus Keyphrase: telehealth billing 2026 Primary Keywords: telehealth billing 2026, telehealth CPT codes 2026, CMS telehealth rules 2026, maximize telehealth reimbursements Secondary/Long-Tail Keywords: telehealth billing traps 2026, avoid telehealth denials 2026, audio-only telehealth billing, telehealth reimbursement changes CMS 2026, new telehealth codes practices Practices actively expand telehealth services in 2026 while navigating evolving CMS rules,
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Chronic Care Management Billing in 2026: Unlock Hidden Revenue with Proper Coding & New APCM Integration
Practices actively generate substantial new revenue in 2026 by mastering Chronic Care Management (CCM) billing updates. CMS finalized key refinements in the CY 2026 Physician Fee Schedule, maintaining core CCM codes while enhancing integration with Advanced Primary Care Management (APCM) services. Providers now bill CCM more flexibly alongside APCM—especially for complex patients—without duplicative reporting, as
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Remote Patient Monitoring Billing Updates 2026: Unlock New Revenue with Shorter Monitoring & Lower Time Thresholds
Practices actively capture new revenue streams in 2026 by mastering the latest remote patient monitoring (RPM) billing updates. CMS and the AMA finalized major expansions in the 2026 CPT code set and Physician Fee Schedule: providers now bill for shorter monitoring periods (2-15 days instead of 16+ days) and lower management time thresholds (first 10
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In-House vs. Outsourced Medical Billing in 2026: The ROI Numbers Small Practices Can’t Afford to Ignore
In 2026, small-to-mid-sized healthcare practices (1-10 providers) face mounting pressure on their revenue cycle. Rising claim denial rates (now averaging 10-19% industry-wide), persistent prior authorization delays (with 7-14 day standard turnaround under CMS rules), staffing shortages, and the ongoing shift to value-based care models are forcing owners to scrutinize every dollar in overhead. The big
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HIPAA Compliance & AI-Powered RCM: How Forward-Thinking Practices Stay Audit-Proof While Boosting Revenue in 2026
In March 2026, HIPAA compliance has evolved from a checkbox to a high-stakes imperative for medical practices. With the long-awaited HIPAA Security Rule updates (proposed in late 2024 and targeted for finalization around May 2026, with compliance deadlines likely mid-to-late 2026), covered entities face mandatory changes: end-to-end encryption for ePHI (at rest and in transit),
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2026 CPT Code Changes: What Every Practice Owner Must Know to Avoid Massive Underpayments
In 2026, the American Medical Association (AMA) delivered one of the most significant overhauls in years: 418 total CPT code changes — including 288 brand-new codes, 84 deletions, and 46 revisions — all effective January 1, 2026. For practice owners and managers, this isn’t just another annual update. Using even one outdated or incorrect code
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Prior Authorization Bottlenecks Killing Your Cash Flow? 4 Automation Tactics Proven to Cut Delays by 50% in 2026
In 2026, prior authorization (PA) remains one of the most persistent bottlenecks in medical billing and revenue cycle management. Practices across the U.S. are spending an average of 16 hours per week on PA tasks alone, with physicians handling 39-45 requests weekly — and that’s before factoring in follow-ups, appeals, and resubmissions. The impact is
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Top 10 Medical Claim Denial Reasons Crushing Practices in 2026 (And Fixes That Work)
In early 2026, claim denials continue to be one of the most pressing financial threats facing healthcare providers. Industry data shows denial rates averaging 10-19% across payers, with many practices reporting at least 1 in 10 claims initially denied—and some specialties seeing even higher rates due to heightened payer scrutiny. Recent reports indicate that nearly