Billing guides that show their source
Guides on coding, denials, prior authorization and payer rules — each one written from the eCFR, the Federal Register and CMS’s own manuals, and each one naming the rule it relies on.
Newest first
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Virtual Credit Card Medical Billing Fees: 2026 Fix Guide
By Danish William ·
Virtual credit card medical billing fees quietly cost practices thousands of dollars a year, and most billing teams don’t realize they never had to accept…
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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…
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TPE Audit Response: A Complete Step-by-Step Survival Guide
By Sarah Callahan ·
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…
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What Happens After a RAC Audit Letter Hits Your Practice
By Sarah Callahan ·
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…
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CPT 99080 CMS-1500 Offset: Workers’ Comp E-Billing Rules
By Danish William ·
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…
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CMS-1832-F 2026: How Practice Expense Cuts Hit Cardiology
By Sarah Callahan ·
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…
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QPA Benchmark 2026: Surprise Billing Rules for Physicians
By Sarah Callahan ·
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…
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AI-Augmented CPT Codes 2026: A Physician Billing Playbook
By Danish William ·
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…
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Collecting Patient Balances After Insurance Underpayment
By Danish William ·
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…