Practical guidance on denials, compliance, and payer behavior from a team that works these problems every day.
Insurers Say They Cut 6.5 Million Prior Authorizations. Most Practices Cannot Find Them. In June 2025, more than fifty health plans covering roughly 270 million
Three Medicaid Changes Land on January. Your Eligibility Workflow May Not Be Ready for Them. Most of the conversation about the One Big Beautiful Bill
Boutique RCM vs. Big-Box Billing: What Specialty Practices Actually Need Outsourced revenue cycle management is no longer a niche decision. Industry research shows the outsourced
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.
