Discover expert insights and practical tips to simplify medical billing and boost your practice’s financial success.
Effective July 1, 2025, the AMA released new Proprietary Laboratory Analysis (PLA) codes and made some revisions. There are 23 new PLA code updates (0552U–0574U) approved by the CPT Editorial Panel, one code revised, and six others removed. These changes will be found in CPT 2026 released in October 2025
Congressional leaders are considering a broad budget proposal known as the 2025 reconciliation bill that would significantly transform federal programs. Among the areas of top concern is Medicaid, the federal health program for low-income adults, older adults, people with disabilities, and many children. Currently, roughly 71 million Americans are on
Imagine doing all the right things for patient care and forgetting a simple deadline and losing Medicare payments. The Merit-based Incentive Payment System (MIPS) has a lot of significant dates each year. If you participate in MIPS for 2025, here’s the timeline you need to be aware of. Forgetting a
Medical credentialing is the pivotal process of checking the credentials, licenses, and background of healthcare providers. In 2025, it will see radical transformations. As healthcare continues to transform further, Medical Credentialing in 2025 will need greater attention, velocity, and active monitoring than ever before. The new regulations this year require
Imagine running your medical practice in 2025: staff and supply expenses continue to rise, but reimbursement for your services continues to shrink. That’s the reality of healthcare finance in 2025, and it keeps a lot of physicians anxious about profiting with their practice. Value-based care (VBC) – a system that
Why a 2025 HIPAA Security Rule Update? Cyberattacks on healthcare have skyrocketed, leading to the first in-depth HIPAA Security Rule re-write in over a decade. Alone in 2024, breaches affected more than 180 million individuals health information, at an average cost of more than $10 million per incident – more
Attention SNFs and Medical Billers: Significant Changes Ahead! If you’re an Skilled Nursing Facility (SNF), Medicare is once again altering the rules. There’s a huge July 2025 HCPCS update you can’t afford to miss. Why is this significant? Apply the wrong code? Your application will be DENIED. Utilizing an outdated
If you go to the emergency room and get treated immediately, you can then get billed a much higher amount than you were expecting. Why is that? The physician who treated them was not under their plan. Out-of-network billing is a huge issue in medicine for physicians, nurses, and clinic
Introduction Telehealth changed the face of healthcare during the pandemic. Everyone is now waiting to see what happens to telehealth when temporary Medicare rules expire on September 30, 2025. While a recent Congressional action on March 15, 2025, extended the most important telehealth flexibilities up to September 30, 2025, uncertainty
USA’s Healthcare legislation 2025 Updates 2025 is a big shift for U.S. healthcare regulations. Massachusetts, California, and Texas all have new legislation to curb private equity and corporate influence. The legislation introduces new levels of transparency, safeguards doctor’s autonomy, and demands more comprehensive financial reporting. Massachusetts has enacted House Bill
