Author: Sarah Callahan
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FY 2027 ICD-10 Coding Guidelines: What Actually Changed
By Sarah Callahan ·
Almost Nothing Changed, and Three Things People Will Tell You Changed Did Not Every year the ICD-10-CM Official Guidelines for Coding and Reporting are reissued…
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Modifier 25 & Same-Day Injections: 2026 Audit Guide
By Sarah Callahan ·
By Sarah Callahan — Reviewed by Eman Zahra — Last updated: August 2026 Educational disclaimer: This article is general educational content about Medicare coding and…
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Counter 2026 Medicare Efficiency Adjustment Cuts on wRVUs
By Sarah Callahan ·
What exactly did CMS cut with the 2026 efficiency adjustment, and how permanent is it? CMS finalized a -2.5% reduction to work RVUs and corresponding…
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Skin Substitute Billing Guidelines and Documentation Updates 2026
By Sarah Callahan ·
What Exactly Changed in Skin Substitute Reimbursement on January 1, 2026? Effective January 1, 2026, CMS finalized a fundamental restructuring of Medicare skin substitute payments…
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Medicare Billing Guide for Physicians 2026: Key Updates
By Sarah Callahan ·
Most physicians don’t lose revenue because they deliver bad care. They lose it because their billing hasn’t caught up with CMS policy. The 2026 Physician…
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When to Self-Disclose a Medical Billing Overpayment to OIG
By Sarah Callahan ·
What Is the Real Difference Between an Overpayment and a Reportable Violation? An overpayment is money received in error with no underlying violation of federal…
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Why Billing Staff Now Face FCA Whistleblower Risk in 2026
By Sarah Callahan ·
Billing staff face direct personal exposure because the False Claims Act imposes liability on anyone who “knowingly” submits a false claim, not just the practice…
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RADV Audit V28: Documentation Risk for Physician Practices
By Sarah Callahan ·
A chart-pull letter used to be a rare event. Now it arrives on a schedule. Payment Year 2026 runs entirely on the CMS-HCC V28 model,…
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WISeR Model Medicare 2026: The Six-State Prior Auth Guide
By Sarah Callahan ·
The WISeR Model Medicare pilot went live January 1, 2026, in six states, and it changes how practices get paid for a narrow list of…
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Cloned EHR Notes: The Audit Risk Practices Miss in 2026
By Sarah Callahan ·
Cloned notes used to mean one physician cutting and pasting a paragraph. In 2026, it means something bigger: templates, macros, and AI scribes all producing…