Bottom line: If your ophthalmology practice received a prior authorization denial you suspect was algorithm-driven, don’t start by writing a general appeal letter. Start by…

If your charge master still has 92921, 92925, or 92929 on it, every claim carrying one of those codes since January 1, 2026 is going…

I have sat across the table from physicians who were brilliant clinicians — and completely baffled by a denial letter. The procedure was perfect. The…

CPT 55700 is gone. Effective January 1, 2026, the code is deleted, and it cannot be used for any 2026 date of service. It has…

A new physician joins your practice. They’re credentialed with your hospital, malpractice coverage is in place, their DEA number is active. But four months later,…

By a Healthcare Finance Specialist | Updated May 2026 Medical billing is one of the most misunderstood expenses in American healthcare. Providers focus on clinical…

Medical billing and coding education only — not legal, financial, or insurance advice. Payer policies and coverage rules change; verify current requirements directly with the…

Why Are POS 02 and POS 10 Errors the Fastest-Growing Source of Telehealth Claim Denials in 2026? POS misclassification between POS 02 (telehealth not in…

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…

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…