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On The Horizon
Billing News & Updates
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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.
Oct 132 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
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
Debunking Three Common Myths About Anesthesiology Medical Billing
Anesthesiology is a critical field in healthcare, ensuring patient comfort and safety during medical procedures. However, the intricacies...
Nov 2, 20232 min read
How to Improve Your Medical Billing Denial Rate
Practical ways to reduce medical claim denials, address root causes and recover collectible revenue.
Sep 3, 20211 min read
Medical Billing KPIs Every Practice Owner Should Monitor
Key medical billing metrics for collections, aging AR, denials and reimbursement, with practical questions for your billing team.
Aug 6, 20192 min read
Medical Billing Key Performance Indicators
Medical billing is complex, especially in the modern reimbursement era. But to optimize your collections, it’s important to overcome the...
May 28, 20195 min read
Take Control of Patient Collections
Once a patient receives any kind of service and then leaves the practice without making a payment, the chances of ever receiving payment...
Mar 31, 20193 min read
Do Medical Billing Services Help Solve Physician Burnout?
Expectations For Medical Billing Companies Being a physician and running a practice seems to require a whole different skill-set. While...
Jun 27, 20182 min read
The Future of Electronic Health Records
Do you ever think, even in 2018, EHRs still leave us wanting more? Physicians are burnt out and mistrust in these softwares is rampant...
Jun 10, 20182 min read
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