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…

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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…

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

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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…

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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,…

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

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

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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…

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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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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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