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How Medicare Advantage Changes Could Disrupt Physician Payments
A Growing Divide in Medicare Funding As Medicare Advantage (MA) continues to grow at a historic pace, physician groups are raising alarms. While insurers participating in MA are set to receive a 4.33% payment increase in 2026, physicians operating under traditional Medicare face ongoing reimbursement cuts, creating a sharp and growing divide in how federal…
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The Ultimate Cheat Sheet: 50 Medical Billing Terms Every Front Desk Staff Should Know
Medical billing is more than just a back-office function—it begins the moment a patient walks through the door. As the first point of contact, front desk staff play a pivotal role in ensuring clean claims, accurate reimbursement, and a positive patient experience. But to do that effectively, they must be fluent in the language of…
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What the One Big Beautiful Bill Means for Medicaid: 10 Critical Changes Healthcare Providers Must Understand
Discover how the 2025 One Big Beautiful Bill reshapes Medicaid: work requirements, eligibility cuts, cost-sharing, and more. Key impacts for providers, payers, and patients.
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5 Proven Denial Management Strategies for Physician Practices (No Extra Staff Needed)
In 2025, physician practices face growing financial pressure as claim denial rates approach 12%, driven by increasingly complex payer rules and stricter pre-authorization requirements. These denials don’t just delay revenue—they silently drain your bottom line. With staffing budgets already stretched thin, hiring more team members isn’t always a practical solution. The good news? You can…
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Claim Scrubbing in Medical Billing: The Ultimate Guide for Healthcare Providers
Learn everything about claim scrubbing in medical billing—what it is, why it matters, how it works, and how to implement it. Reduce denials, speed up reimbursements, and optimize your revenue cycle.
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What is EDI in Medical Billing? A Complete Guide for 2025
Learn how Electronic Data Interchange (EDI) is transforming medical billing in 2025. Discover its benefits, key transaction codes, implementation tips, and future trends. Stay HIPAA-compliant and boost claim efficiency with this comprehensive guide.
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What Healthcare Changes to Expect in 2026: Your Complete Guide to Trends, Policies, and Innovations
Explore the top healthcare trends, policies, and innovations for 2026, including AI diagnostics, telehealth growth, and Medicare updates. Stay ahead with our guide.
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The Ultimate Guide to Outsourcing Medical Billing Services in 2025
As the healthcare landscape transforms at breakneck speed, medical billing is no longer a back-office function—it’s a strategic lever for growth and stability. With 2025 bringing unprecedented regulatory shifts, evolving reimbursement models, and persistent cost pressures, the smartest healthcare organizations are reevaluating how they manage revenue cycle operations. The answer for many? Outsourcing medical billing…
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Surprise Billing: What It Is and How to Protect Yourself
If you’ve ever received a medical bill that was much higher than expected, you may have been a victim of surprise billing. This frustrating experience happens when patients receive out-of-network care without realizing it, often resulting in hefty medical bills. Understanding surprise billing, how it happens, and how to protect yourself is crucial for both…
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Clean Claims Rate
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Increase in Revenue
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