Author: Sarah Callahan
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ASM Heart Failure Billing: Mandatory Triggers Explained
By Sarah Callahan ·
On October 31, 2025, CMS finalized the Ambulatory Specialty Model (ASM) inside the CY 2026 Medicare Physician Fee Schedule final rule. It targets general cardiologists…
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Track Cost vs Benefit Metrics for 2026 APM Compliance
By Sarah Callahan ·
What Exactly Does “APM Compliance Cost” Mean in 2026? In 2026, APM compliance cost encompasses every operational dollar a practice spends to qualify for, participate…
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Fix Copy-Paste Documentation Compliance Risks: CMS 2026
By Sarah Callahan ·
Three words define the highest-exposure compliance liability in healthcare billing right now: copy, paste, forward. What started as an EHR shortcut has become the primary…
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How to Protect Your Insurance Gold Card Status in Billing
By Sarah Callahan ·
What Exactly Does Gold Card Status Mean for Your Billing Operations? Gold card status is a prior authorization exemption granted by a payer to physician…
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The 2026 HIPAA Compliance Checklist for Medical Billing
By Sarah Callahan ·
Nobody in billing thinks about HIPAA until an OCR letter lands on their desk. Medical billing sits at the most data-dense intersection in healthcare. Claims,…
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Prior Authorization Delays: How to Stop Losing Revenue
By Sarah Callahan ·
Prior authorization is, by most measures, the single most frustrating process in modern healthcare billing. I’ve watched physicians abandon treatments, patients delay surgeries, and billing…