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…

The envelope looks routine. It isn’t. A Notice of Review from your Medicare Administrative Contractor means you’ve entered a Targeted Probe and Educate audit, and…

The envelope looks routine until you open it. Inside sits a Recovery Audit Contractor letter, and your practice now has a clock running. What you…

CPT 99080 is a “by report” code originally meant for special reports. New York’s Workers’ Compensation Board repurposed it, capped at $1 per bill, to…

Cardiology just lost its facility-based payment cushion. CMS finalized CMS-1832-F on October 31, 2025, and the rule takes effect January 1, 2026. It rewrites how…

What Is the QPA in 2026 Physician Billing? The Qualifying Payment Amount is a health plan’s median contracted rate for a given service, frozen at…

The AMA’s 2026 CPT set adds 288 new codes, deletes 84, and revises 46, formally recognizing augmented intelligence as a billable clinical input for the…

The distinction that destroys revenue cycles isn’t a billing error. It’s a misclassification — the silent moment when a payment poster treats an insurer’s $80…

Picture the scenario. A new nurse practitioner starts Monday. Patients are booked through Friday. Front desk runs eligibility checks, sees an active plan, and the…

The numbers are not ambiguous. Approximately 2.9 million Medicare Advantage enrollees faced forced plan terminations in 2026. That is roughly 10% of all non-employer HMO…