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On The Horizon
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Medicare Eligibility Checks at Risk? HETS Email Deadline Is December 1, 2026
Verify your Medicare HETS enrollment email before December 1, 2026. Learn who can correct it and what to check if eligibility requests fail.
7 days ago2 min read


Aetna Orthovisc Prior Authorization Update: What Changed in October 2026
Aetna removed commercial Orthovisc precertification October 1, 2026. See which plans are affected, what to verify, and how to follow up on denials.
Oct 122 min read


How to Reduce Medical Accounts Receivable Over 90 Days
Learn how to review aging medical accounts receivable, prioritize unpaid insurance claims and identify collectible balances without inflating AR.
Oct 113 min read


Medi-Cal Provider Portal: October Directory Updates for California Practices
Medi-Cal fee-for-service providers must review directory information in October. Learn what to update, who can access the portal and how to prepare.
Oct 92 min read


How Much Does Outsourced Medical Billing Cost in California?
Compare percentage-based and flat-fee medical billing costs in California, including what's included, hidden fees and how to evaluate billing partners.
Oct 82 min read


Medi-Cal Enrollment Changes for 2027: How to Prevent Claim Denials
New Medi-Cal ORP enrollment checks could lead to claim denials in 2027. Learn which NPIs California practices should verify and how to prepare.
Oct 82 min read


AI in Medical Billing: What Automation Can and Cannot Replace
Explore where medical billing automation helps, why payer follow-up and human oversight still matter, and how practices should evaluate RCM support.
Apr 62 min read


California AI Disclosure Rules: Are Billing Messages Covered?
AB 3030 addresses covered clinical communications, not every patient message. Billing and administrative matters are expressly excluded from its clinical-information definition.
Apr 52 min read


Why Medical Claims Get Denied and How Practices Can Prevent Them
Learn common causes of medical claim denials, how to build a practical denial prevention process, and when to escalate unpaid claims.
Mar 282 min read


California Medical Billing Rules: What Practices Should Check
A practical checklist for California practices covering payer contracts, Medi-Cal, patient billing, timely filing and reimbursement follow-up.
Mar 192 min read
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