Practical guidance on denials, compliance, and payer behavior from a team that works these problems every day.
The New CMS Prior Authorization Rules Are Here. So Why Are Denials Still Rising? On January 1, 2026, the most significant federal prior authorization reform
BCBS Michigan’s 50% Modifier 25 reimbursement cut is paused, but the audit wave isn’t. Here’s what every practice billing same-day E/M and procedures needs to do now.
Claim denial rates keep climbing in 2026. Learn why denial prevention beats denial management, and how to stop revenue leakage before claims are ever submitted.
