[ { "id": "blog1", "title": "How Outsourcing Medical Billing Services Can Boost Your Practice’s Revenue", "url": "/blog/how-outsourcing-medical-billing-services-can-boost-your-practice-revenue/", "featuredImage": "/images/xpertblog/how-outsourcing-medical-billing-services-can-boost-your-practice-revenue.webp", "author": "Kara Wily", "date": "Oct-16-2024", "tags": [ "outsourcing medical billing", "medical billing services", "healthcare revenue", "practice revenue", "medical coding", "claims processing" ], "description": "Learn how to improve efficiency and enhance patient care. Discover the benefits, compare it to in-house billing, and find the right outsourcing partner." }, { "id": "blog2", "title": "Human Medical Billing Helps Healthcare Providers Avoid MIPS (Medicare) Payment Penalties", "url": "/blog/human-medical-billing-helps-healthcare-providers-avoid-mips-medicare-payment-penalties/", "featuredImage": "/images/xpertblog/human-medical-billing-helps-healthcare-providers-avoid-mips-medicare-payment-penalties-new.webp", "author": "Kara Wily", "date": "Oct-22-2024", "tags": [ "MIPS compliance services", "avoid Medicare payment penalties", "healthcare billing solutions", "MIPS reporting support", "Medicare penalty prevention", "healthcare revenue cycle management", "medical billing for MIPS" ], "description": "Simplify MIPS reporting and avoid penalties. Human Medical Billing offers expert help and streamlined processes." }, { "id": "blog3", "title": "12 Benefits of Outsourcing Medical Billing Services for Providers", "url": "/blog/12-benefits-of-outsourcing-medical-billing-services-for-providers/", "featuredImage": "/images/xpertblog/12-Benefits-of-Outsourcing-Medical-Billing-Services-for-Providers.webp", "author": "Kara Wily", "date": "Dec-11-2024", "tags": [ "outsourcing medical billing benefits", "save money medical billing", "increase revenue medical billing", "improve cash flow billing", "HIPAA compliance billing", "enhance patient experience billing" ], "description": "Discover how outsourcing medical billing services can save money, reduce errors, improve cash flow, and enhance patient care." }, { "id": "blog4", "title": "Medical Billing Challenges in California and How to Overcome Them", "url": "/blog/medical-billing-challenges-in-california-and-how-to-overcome-them/", "featuredImage": "/images/xpertblog/medical-billing-challenges-california-overview-human-medical.webp", "author": "Kara Wily", "date": "Jan-21-2025", "tags": [ "California medical billing challenges", "Medi-Cal billing compliance", "OMFS workers compensation billing", "Telemedicine billing issues", "Insurance payer management California", "Regulatory compliance in medical billing" ], "description": "Explore the unique medical billing challenges in California and find actionable strategies to streamline your billing processes." }, { "id": "blog5", "title": "Top Medical Billing Trends to Watch in 2025", "url": "/blog/top-medical-billing-trends-to-watch-in-2025/", "featuredImage": "/images/xpertblog/top-medical-billing-trends-to-watch-in-2025.webp", "author": "Kara Wily", "date": "Jan-27-2025", "tags": [ "medical billing trends 2025", "AI in healthcare billing", "patient-centric billing", "value-based care models", "telehealth billing challenges", "outsourced medical billing" ], "description": "Explore 2025's key medical billing trends, from AI and patient-centric billing to telehealth and cybersecurity. Stay ahead with practical tips." }, { "id": "blog6", "title": "The Role of Medical Billing in Revenue Cycle Management", "url": "/blog/the-role-of-medical-billing-in-revenue-cycle-management/", "featuredImage": "/images/xpertblog/the-role-of-medical-billing-in-revenue-cycle-management.webp", "author": "Kara Wily", "date": "Jan-31-2025", "tags": [ "medical billing process", "revenue cycle management steps", "claim denials prevention", "billing efficiency in healthcare", "outsourcing medical billing", "medical insurance specialists roles" ], "description": "Discover the 10 steps of the medical billing revenue cycle, why it's vital to RCM, and tips to prevent billing issues. Read now!" }, { "id": "blog7", "title": "Medical Billing Services: What No One Tells You in 2025!", "url": "/blog/medical-billing-services-what-no-one-tells-you-in-2025/", "featuredImage": "/images/xpertblog/medical-billing-services-what-no-one-tells-you-in-2025.webp", "author": "Kara Wily", "date": "Feb-06-2025", "tags": [ "medical billing services", "revenue cycle management", "medical billing outsourcing", "healthcare billing solutions", "medical coding and billing", "medical billing trends 2025" ], "description": "Facts about medical billing services in 2025! Discover hidden pitfalls, cost-saving secrets, and expert tips to boost revenue and stay compliant." }, { "id": "blog8", "title": "A New Overpayment Rule – CMS Changes the 60-Day Rule", "url": "/blog/a-new-overpayment-rule-cms-changes-the-60-day-rule/", "featuredImage": "/images/xpertblog/a-new-overpayment-rule-cms-changes-the-60-day-rule.webp", "author": "Kara Wily", "date": "Feb-07-2025", "tags": [ "CMS 60-Day Rule", "Medicare overpayment compliance", "healthcare billing regulations", "False Claims Act penalties", "medical billing overpayment rule", "revenue cycle management compliance" ], "description": "Learn about the New Overpayment Rule and CMS's 60-Day Rule changes. Discover compliance requirements, penalties, and best practices." }, { "id": "blog9", "title": "Denial Prevention Checklist: First-Time Approval Guaranteed!", "url": "/blog/denial-prevention-checklist-first-time-approval-guaranteed/", "featuredImage": "/images/xpertblog/denial-prevention-checklist-first-time-approval-guaranteed.webp", "author": "Kara Wily", "date": "Feb-12-2025", "tags": [ "denial prevention checklist", "medical claim denials", "first-time claim approval", "healthcare revenue cycle", "denial management strategies", "clean claims submission" ], "description": "Discover a proven denial prevention checklist to secure first-time claim approvals, reduce revenue loss, and enhance efficiency in medical billing." }, { "id": "blog10", "title": "Medical Billing vs. Medical Coding: What’s the Difference?", "url": "/blog/medical-billing-vs-medical-coding-whats-the-difference/", "featuredImage": "/images/xpertblog/medical-billing-vs-medical-coding-difference-human-medical-billing.webp", "author": "Kara Wily", "date": "Feb-14-2025", "tags": [ "medical billing", "medical coding", "healthcare compliance", "CPT and ICD codes", "revenue cycle management", "medical billing vs coding" ], "description": "Discover the key differences between medical billing and medical coding, their responsibilities, career paths, salaries, and certifications." }, { "id": "blog11", "title": "Medical Billing for Multi-Specialty Practices – 5 Must-Know Hacks", "url": "/blog/medical-billing-for-multi-specialty-practices-5-must-know-hacks/", "featuredImage": "/images/xpertblog/medical-billing-for-multi-specialty-practices-challenges-and-solutions.webp", "author": "Kara Wily", "date": "Feb-25-2025", "tags": [ "multi-specialty medical billing", "medical billing challenges", "healthcare revenue cycle management", "medical billing solutions", "specialty-specific coding", "medical billing compliance" ], "description": "Tackle complex reimbursement, compliance, and coding quickly. Discover 5 expert strategies to simplify billing in your multi-specialty practice. Don't miss out." }, { "id": "blog12", "title": "Doctors vs. Private Equity – Healthcare legislation 2025 Explained", "url": "/blog/doctors-vs-private-equity-healthcare-legislation-2025-explained/", "featuredImage": "/images/xpertblog/doctors-vs.-private-equity-healthcare-legislation-2025-explained.webp", "author": "Kara Wily", "date": "Mar-19-2025", "tags": [ "healthcare legislation 2025", "private equity healthcare", "HB 5159 Massachusetts", "SB 351 California", "RCM compliance", "medical billing regulation" ], "description": "Get the latest updates on U.S. healthcare legislation for 2025, including Massachusetts HB 5159, California SB 351 & AB 1415, and Texas HB 2747 & SB 1595." }, { "id": "blog13", "title": "Future of Telehealth at Risk? Deadline Extended Until September 2025", "url": "/blog/future-of-telehealth-at-risk-deadline-extended-until-september-2025/", "featuredImage": "/images/xpertblog/future-of-telehealth-at-risk-deadline-extended-until-september-2025.webp", "author": "Kara Wily", "date": "Mar-20-2025", "tags": [ "telehealth policy 2025", "Medicare telehealth extension", "future of telehealth", "telehealth regulations", "virtual healthcare access", "behavioral health telemedicine" ], "description": "The Medicare telehealth extension is now until September 2025. Learn what’s changing, how it impacts providers, and what the future holds for virtual care." }, { "id": "blog14", "title": "Out-of-Network Billing in 2025: What Doctor Needs to Know", "url": "/blog/out-of-network-billing-in-2025-what-doctor-needs-to-know/", "featuredImage": "/images/xpertblog/out-of-network-billing-in-2025-what-doctor-needs-to-know-main.webp", "author": "Kara Wily", "date": "Apr-04-2025", "tags": [ "out-of-network billing 2025", "no surprises act updates", "medical billing tips for doctors", "balance billing regulations", "healthcare reimbursement strategies", "out-of-network insurance claims" ], "description": "Stay ahead in 2025 with this guide to out-of-network billing. Learn key steps, legal insights, better rates, and how to manage OON claims effectively." }, { "id": "blog15", "title": "July 2025 HCPCS Update: These Codes will Cost You a lot!", "url": "/blog/july-2025-hcpcs-update-these-codes-will-cost-you/", "featuredImage": "/images/xpertblog/july-2025-hcpcs-update-these-codes-will-cost-you-a-lot.webp", "author": "Kara Wily", "date": "Apr-24-2025", "tags": [ "July 2025 HCPCS update", "Medicare SNF billing codes", "CMS HCPCS changes", "Skilled Nursing Facility reimbursements", "medical billing compliance", "HCPCS code training" ], "description": "July 2025 HCPCS code changes are here. Some are new, some gone, and some updated. Get ready now to avoid billing mistakes." }, { "id": "blog16", "title": "2025 HIPAA Security Rule: Final Warning for Private Practices", "url": "/blog/2025-hipaa-security-rule-final-warning-for-private-practices/", "featuredImage": "/images/xpertblog/2025-hipaa-security-rule-final-warning-for-private-practices.webp", "author": "Kara Wily", "date": "Apr-25-2025", "tags": [ "HIPAA 2025 Security Rule", "healthcare cybersecurity 2025", "HIPAA compliance update", "HIPAA changes for small practices", "electronic PHI protection", "HIPAA cybersecurity requirements" ], "description": "The 2025 HIPAA Security Rule is here. MFA, encryption, & annual risk reviews are now mandatory. Is your private practice ready? Learn how to stay compliant." }, { "id": "blog17", "title": "Value-Based Care in 2025: Lifeline or Liability for Your Practice?", "url": "/blog/value-based-care-in-2025-lifeline-or-liability-for-your-practice/", "featuredImage": "/images/xpertblog/value-based-care-in-2025-lifeline-or-liability-for-your-practice.webp", "author": "Kara Wily", "date": "May-05-2025", "tags": [ "value-based care 2025", "Medicare reimbursement cuts", "physician practice profitability", "healthcare financial trends", "medical billing strategies", "value-based care challenges" ], "description": "Explore Value-Based Care in 2025. Learn how to manage financial impacts, opportunities, and strategies for your practice’s success." }, { "id": "blog18", "title": "Medical Credentialing in 2025: New NCQA Rules You Must Know", "url": "/blog/medical-credentialing-in-2025-new-ncqa-rules-you-must-know/", "featuredImage": "/images/xpertblog/medical-credentialing-in-2025-new-ncqa-rules-you-must-know.webp", "author": "Kara Wily", "date": "May-08-2025", "tags": [ "medical credentialing 2025", "ncqa credentialing standards", "healthcare provider credentialing", "credentialing verification organization (CVO)", "psv medical credentialing", "monthly sanction screening NCQA" ], "description": "Discover how Medical Credentialing in 2025 is changing with new NCQA standards, monthly monitoring, & federal compliance updates don’t risk falling behind." }, { "id": "blog19", "title": "MIPS 2025 Timeline: Deadlines You Can’t Afford to Miss", "url": "/blog/mips-2025-timeline-deadlines-you-cant-afford-to-miss/", "featuredImage": "/images/xpertblog/mips-2025-timeline-deadlines-you-cant-afford-to-miss.webp", "author": "Kara Wily", "date": "May-12-2025", "tags": [ "MIPS 2025 deadlines", "CMS MIPS reporting timeline", "Medicare payment adjustments 2025", "MIPS performance year 2025", "MIPS reporting requirements 2025", "MIPS penalty avoidance strategies" ], "description": "Master the MIPS 2025 reporting timeline - key dates from Oct 1 2024 virtual-group kickoff to Mar 31 2026 submission." }, { "id": "blog20", "title": "What’s Changing in Medicaid under the 2025 Reconciliation Bill?", "url": "/blog/whats-changing-in-medicaid-under-the-2025-reconciliation-bill/", "featuredImage": "/images/xpertblog/whats-changing-in-medicaid-under-the-2025-reconciliation-bill.webp", "author": "Kara Wily", "date": "May-13-2025", "tags": [ "Medicaid changes 2025", "2025 reconciliation bill", "Medicaid reimbursement cuts", "provider tax cap Medicaid", "Medicaid eligibility requirements", "supplemental Medicaid payments" ], "description": "The 2025 Reconciliation Bill could reshape Medicaid with caps on extra payments, frozen provider taxes potentially affecting millions - learn how" }, { "id": "blog21", "title": "Q3 2025 PLA Code Updates: 23 New AMA Lab Tests to Know", "url": "/blog/q3-2025-pla-code-updates-23-new-ama-lab-tests-to-know/", "featuredImage": "/images/xpertblog/q3-2025-pla-code-updates-23-new-ama-lab-tests-to-know.webp", "author": "Kara Wily", "date": "May-15-2025", "tags": [ "q3 2025 pla code updates", "new ama lab test codes 2025", "medical billing compliance ama cpt", "proprietary laboratory analysis codes", "cpt code changes july 2025", "medical billing for genetic and oncology tests" ], "description": "23 new PLA codes are now live for Q3 2025. See what AMA added, what got deleted, and how these updates impact billing. Stay compliant." }, { "id": "blog22", "title": "The Trends Set to Reshape Behavioral Health Billing in 2025", "url": "/blog/the-trends-set-to-reshape-behavioral-health-billing-in-2025/", "featuredImage": "/images/xpertblog/top-behavioral-health-billing-trends-2025.webp", "author": "Kara Wily", "date": "May-21-2025", "tags": [ "behavioral health billing trends 2025", "telehealth billing for mental health", "CPT codes for behavioral health", "Medicare behavioral health reimbursement", "digital therapeutics billing", "mental health parity regulations" ], "description": "Here are the key trends in behavioral health billing, new CPT/HCPCS codes (G0560, G0553), telehealth policies & Medicare updates.2025" }, { "id": "blog23", "title": "$68 Billion Lost: Why In-House Billing Must Go", "url": "/blog/68-billion-lost-why-in-house-billing-must-go/", "featuredImage": "/images/xpertblog/why-in-house-billing-must-go.webp", "author": "Kara Wily", "date": "May-21-2025", "tags": [ "medical billing outsourcing", "in-house billing problems", "revenue cycle management", "hospital billing errors", "outsource medical billing", "healthcare RCM" ], "description": "Hospitals lost $68 billion due to billing errors. Learn why in-house billing is failing and how outsourcing helps save money and reduce risks." }, { "id": "blog24", "title": "Avoid No Surprises Act Penalties: Mid-Year 2025 Update", "url": "/blog/no-surprises-act-2025-penalties-update/", "featuredImage": "/images/xpertblog/no-surprises-act-penalties-update-2025-human-medical-billing.webp", "author": "Kara Wily", "date": "June-06-2025", "tags": [ "No Surprises Act 2025", "medical billing compliance", "NSA penalties update", "QPA and IDR requirements", "healthcare regulatory updates", "Human Medical Billing" ], "description": "Learn how to stay compliant with the No Surprises Act in mid-2025. Avoid costly penalties with QPA, IDR, GFE, and gag clause enforcement tips." }, { "id": "blog25", "title": "Medicare Advantage Denials Threaten Revenue in 2025", "url": "/blog/medicare-advantage-denials-threaten-revenue-in-2025/", "featuredImage": "/images/xpertblog/medicare-advantage-denials-threaten-revenue-in-2025.webp", "author": "Kara Wily", "date": "June-09-2025", "tags": [ "Medicare Advantage denials 2025", "healthcare revenue loss", "prior authorization delays", "Medicare denial rates", "revenue cycle management", "medical billing services" ], "description": "In 2025, Medicare Advantage denials are surging-fueling revenue loss and care delays. This growing crisis is straining RCM for U.S. providers." }, { "id": "blog26", "title": "How Medical Billing Services Protect Against Medicaid Cuts", "url": "/blog/how-medical-billing-services-protect-against-medicaid-cuts/", "featuredImage": "/images/xpertblog/how-medical-billing-services-protect-against-medicaid-cuts.webp", "author": "Kara Wily", "date": "June-12-2025", "tags": [ "medical billing services", "Medicaid reimbursement cuts", "outsource medical billing", "denial management healthcare", "healthcare revenue cycle", "improve medical practice cash flow" ], "description": "Learn how medical billing services help protect your practice from Medicaid cuts through cost savings and expert denial management." }, { "id": "blog27", "title": "Medicare Advantage Home Visit Diagnosis Reforms: What Doctors Must Know in 2025", "url": "/blog/medicare-advantage-home-visit-diagnosis-reforms-what-doctors-must-know-in-2025/", "featuredImage": "/images/xpertblog/home-health-nurse-helping-senior-patient-digital-records-human-medical-billing.webp", "author": "Kara Wily", "date": "Aug-14-2025", "tags": [ "Medicare Advantage 2025", "Medicare home visit reforms", "physician billing compliance", "Medicare diagnosis changes", "home health documentation" ], "description": "Dive into 2025 Medicare Advantage reform essentials - policy updates, telehealth tips, and billing strategies for compliance. FAQs included." }, { "id": "blog28", "title": "US Medical Billing 2025: Fees, Prior Auth, NSA, and Practical RCM Playbook", "url": "/blog/us-medical-billing-2025-fees-prior-auth-nsa-practical-rcm-playbook/", "featuredImage": "/images/xpertblog/medical-billing-staff-reviewing-patient-data-human-medical-billing.webp", "author": "Kara Wily", "date": "Aug-16-2025", "tags": [ "US medical billing 2025", "2025 fee schedule medical billing", "CPT code updates 2025", "prior authorization 2025", "No Surprises Act 2025", "independent dispute resolution 2025", "denial management 2025", "AI in medical coding 2025", "RCM playbook 2025", "value-based care 2025" ], "description": "US medical billing 2025 explained: fee schedule updates, CPT code changes, prior authorization rules, IDR issues, and a proven RCM playbook for providers." }, { "id": "blog29", "title": "CMS WISeR Model: Medicare’s AI-Powered Prior Authorization Test to Cut Waste in 2025", "url": "/blog/cms-wiser-model-medicare-ai-powered-prior-authorization-test-to-cut-waste-2025/", "featuredImage": "/images/xpertblog/ai-powered-prior-authorization-healthcare-data-security-human-medical-billing.webp", "author": "Kara Wily", "date": "Aug-20-2025", "tags": [ "cms wiser model", "medicare prior authorization", "ai in healthcare", "medicare waste reduction", "cms ai model", "medicare billing", "healthcare ai 2025", "prior authorization reform", "cms initiatives 2025", "medicare providers" ], "description": "In 2025, Medicare’s new AI-driven prior authorization test aims to cut wasteful spending, improve billing efficiency, and ease provider and patient challenges." }, { "id": "blog30", "title": "How AI and Automation Are Revolutionizing Medical Billing Processes in 2025", "url": "/blog/how-ai-and-automation-are-revolutionizing-medical-billing-processes-in-2025/", "featuredImage": "/images/xpertblog/ai-automation-medical-billing-human-medical.webp", "author": "Kara Wily", "date": "Aug-21-2025", "tags": [ "AI medical billing 2025", "automation in medical billing", "AI in healthcare revenue cycle", "medical billing automation 2025", "benefits of AI in medical billing", "healthcare revenue cycle management trends", "AI billing solutions", "future of medical billing 2025", "AI in healthcare billing", "revenue cycle automation" ], "description": "See why medical billing needed change, how AI and automation improve revenue cycles in 2025, with benefits, trends, adoption steps, and future outlook." }, { "id": "blog31", "title": "Essential Medical Billing KPIs for 2025 for Revenue Cycle Profit", "url": "/blog/essential-medical-billing-kpis-for-2025-metrics-that-matter-for-revenue-cycle-success/", "featuredImage": "/images/xpertblog/medical-billing-team-revenue-cycle-analysis.webp", "author": "Kara Wily", "date": "Aug-22-2025", "tags": [ "medical billing KPIs 2025", "revenue cycle management metrics", "healthcare billing KPIs", "medical billing benchmarks 2025", "denial rate healthcare", "net collection rate medical billing", "clean claim rate 2025", "days in accounts receivable", "patient responsibility collection", "cost to collect healthcare" ], "description": "Learn the key medical billing KPIs for 2025 - days in A/R, clean claim rate, denial rate, and net collection rate that drive cash flow and revenue cycle growth." }, { "id": "blog32", "title": "How Cutting After-Hours Charting Helps Reduce EHR Time for Doctors", "url": "/blog/how-cutting-after-hours-charting-helps-reduce-ehr-time-for-doctors/", "featuredImage": "/images/xpertblog/doctor-burnout-after-hours-charting-human-medical-billing.webp", "author": "Kara Wily", "date": "Aug-26-2025", "tags": [ "after-hours charting", "EHR time reduction", "reduce EHR workload" ], "description": "Discover how reducing after-hours EHR charting helps doctors save time, cut burnout, and improve workflow efficiency. do this 30/60/90-day roadmap." }, { "id": "blog33", "title": "What is Medical Billing?", "url": "/blog/what-is-medical-billing/", "featuredImage": "/images/xpertblog/what-is-medical-billing.webp", "author": "Kara Wily", "date": "Aug-28-2025", "tags": [ "medical billing", "healthcare billing process", "medical billing cycle" ], "description": "Learn what medical billing is, why it matters, the billing cycle, common challenges, and how AI is transforming healthcare billing for accuracy and efficiency." }, { "id": "blog34", "title": "Medical Billing Services Cost California (2025)", "url": "https://humanmedicalbilling.com/blog/medical-billing-services-cost-california-2025/", "featuredImage": "/images/xpertblog/medical-billing-services-cost-california-2025.webp", "author": "Kara Wily", "date": "Aug-29-2025", "tags": [ "medical billing california", "medical billing pricing 2025", "healthcare billing california" ], "description": "Learn key factors in California billing costs: staffing, payer mix, denials, and AI. See 2025 trends & how the right partner cuts expenses & ensures compliance." }, { "id": "blog35", "title": "What is Medical Coding?", "url": "https://humanmedicalbilling.com/blog/what-is-medical-coding/", "featuredImage": "/images/xpertblog/medical-coder-reviewing-clinical-documents-human-medical-billing.webp", "author": "Kara Wily", "date": "Sep-01-2025", "tags": [ "medical coding", "what is medical coding", "ICD-10 coding" ], "description": "Learn what medical coding is, why it matters in healthcare, & how coders use ICD-10, CPT, & HCPCS codes. Explore key roles, certifications, & future trends." }, { "id": "blog36", "title": "Cigna's New E/M Downcoding Reimbursement Policy: Oct 2025", "url": "https://humanmedicalbilling.com/blog/cignas-new-em-downcoding-reimbursement-policy-oct-2025/", "featuredImage": "/images/xpertblog/cigna-em-downcoding-policy-doctor-frustration-human-medical-billing.webp", "author": "Kara Wily", "date": "Sep-03-2025", "tags": [ "Cigna E/M downcoding", "Cigna claims denial", "CPT code downcoding" ], "description": "Learn how Cigna’s new E/M downcoding policy starting October 2025 impacts CPT codes and reimbursements. Discover steps to protect revenue." }, { "id": "blog37", "title": "CMS Expands Access to Catastrophic Health Insurance Plans Starting 2026", "url": "https://humanmedicalbilling.com/blog/cms-expands-access-to-catastrophic-health-insurance-plans-starting-2026/", "featuredImage": "/images/xpertblog/catastrophic-health-plans-healthcare-operations-conference.webp", "author": "Kara Wily", "date": "Sep-05-2025", "tags": [ "Catastrophic health insurance", "Catastrophic plan eligibility", "ACA catastrophic expansion" ], "description": "CMS expands catastrophic health plan access in 2026. Find out how providers can prepare for changes in billing, eligibility, and revenue cycle management." }, { "id": "blog38", "title": "What is Revenue Cycle Management? | Complete RCM Guide", "url": "https://humanmedicalbilling.com/blog/what-is-revenue-cycle-management-complete-rcm-guide/", "featuredImage": "/images/xpertblog/rcm-data-analysis-meeting-human-medical-billing.webp", "author": "Kara Wily", "date": "Sep-09-2025", "tags": [ "revenue cycle management", "RCM", "what is RCM" ], "description": "Explore the fundamentals of revenue cycle management in healthcare. Understand each step of the RCM, common challenges, & the impact of technology." }, { "id": "blog39", "title": "CMS Delays Medicare Advantage Unused Benefits Policy: Impact on Healthcare Providers", "url": "https://humanmedicalbilling.com/blog/cms-delays-medicare-advantage-unused-benefits-policy-impact-on-healthcare-providers/", "featuredImage": "/images/xpertblog/cms-medicare-advantage-policy-review-doctor-human-medical-billing.webp", "author": "Kara Wily", "date": "Sep-10-2025", "tags": [ "CMS Delays", "CMS Announcement", "Policy Delay" ], "description": "CMS has delayed its mid-year alerts for unused supplemental benefits, giving Medicare Advantage plans more time to set up tracking, communication systems." }, { "id": "blog40", "title": "2025 CMS Physician Self-Referral Code Updates: (CPT/HCPCS)", "url": "https://humanmedicalbilling.com/blog/2025-cms-physician-self-referral-code-updates-complete-cpt-hcpcs-guide/", "featuredImage": "/images/xpertblog/2025-cpt-hcpcs-guide-medical-billing-training-humanmedical.webp", "author": "Kara Wily", "date": "Sep-12-2025", "tags": [ "CMS code updates 2025", "CPT HCPCS 2025 changes", "AI diagnostic codes" ], "description": "Discover 2025 CMS Physician Self-Referral CPT/HCPCS updates: 130 code additions, 23 deletions, & ESRD drug updates for compliance." }, { "id": "blog41", "title": "The Critical Role of HCC Coding in Healthcare Today", "url": "https://humanmedicalbilling.com/blog/the-critical-role-of-hcc-coding-in-healthcare-today/", "featuredImage": "/images/xpertblog/medical-staff-reviewing-hcc-coding-documentation.webp", "author": "Kara Wily", "date": "Sep-15-2025", "tags": [ "HCC coding", "risk adjustment factor", "RAF scoring 2025" ], "description": "Discover why HCC coding is essential for accurate reimbursement and quality care. Learn best practices, audit tips, and how we supports your coding success." }, { "id": "blog42", "title": "2025 Internal Medicine Billing Trends: Guide by Human Medical", "url": "https://humanmedicalbilling.com/blog/2025-internal-medicine-billing-trends/", "featuredImage": "/images/xpertblog/internal-medicine-billing-consultation-2025-human-medical.webp", "author": "Kara Wily", "date": "Sep-16-2025", "tags": [ "internal medicine billing 2025", "MIPS internal medicine billing", "chronic care management billing" ], "description": "Discover key 2025 internal medicine billing trends including MIPS updates, chronic care management audits, denial prevention, AI & coding best practices." }, { "id": "blog43", "title": "Medicaid Spending Cuts Impact Pediatric Care: America’s Hidden Healthcare Crisis", "url": "https://humanmedicalbilling.com/blog/medicaid-spending-cuts-impact-pediatric-care-in-2025-americas-hidden-healthcare-crisis/", "featuredImage": "/images/xpertblog/medicaid-spending-cuts-impact-pediatric-care.webp", "author": "Kara Wily", "date": "Sep-22-2025", "tags": [ "pediatric healthcare impact", "Medicaid spending cuts", "children's health coverage" ], "description": "Explore how proposed Medicaid funding cuts put pediatric healthcare of U.S. children at risk. Learn about access, provider impacts, and adaptation strategies." }, { "id": "blog44", "title": "AHA Coding Clinic Q3 2025: What Healthcare Providers and Billing Teams Need to Know Now", "url": "https://humanmedicalbilling.com/blog/aha-coding-clinic-q3-2025-what-healthcare-providers-and-billing-teams-need-to-know-now/", "featuredImage": "/images/xpertblog/aha-coding-clinic-q3-2025-icd-10-cm-pcs-updates-healthcare-providers.webp", "author": "Kara Wily", "date": "Sep-24-2025", "tags": [ "AHA Coding Clinic Q3 2025", "ICD-10-CM 2025 updates", "Type 1 diabetes coding" ], "description": "Learn about 28 ICD-10-CM/PCS coding updates covering presymptomatic Type 1 diabetes, BMI coding, pulmonary embolism, pancytopenia, & CEU webinar." }, { "id": "blog45", "title": "UnitedHealthcare Medicare Advantage Referral Requirements 2026 Guide", "url": "https://humanmedicalbilling.com/blog/unitedhealthcare-medicare-advantage-referral-requirements-2026-guide/", "featuredImage": "/images/xpertblog/unitedhealthcare-medicare-advantage-referral-requirements-2026.webp", "author": "Kara Wily", "date": "Sep-26-2025", "tags": [ "UnitedHealthcare Medicare Advantage", "UHC referral policy 2026", "UHC referral timeline" ], "description": "Learn about UnitedHealthcare Medicare Advantage referral requirements for 2026. Find out who needs referrals, which plans are exempt, timelines, and billing rules." }, { "id": "blog46", "title": "Healthcare AI Adoption 2025: Providers Report 81% Revenue Surge", "url": "https://humanmedicalbilling.com/blog/healthcare-ai-adoption-2025-providers-report-revenue-surge/", "featuredImage": "/images/xpertblog/ai-in-healthcare-automation-human-medical-billing.webp", "author": "Kara Wily", "date": "Sep-30-2025", "tags": [ "AI medical billing", "health system AI6", "clinical documentation AI" ], "description": "Discover how healthcare AI adoption 2025 delivers 81% revenue lifts, cuts costs, and boosts patient care. Learn proven AI-driven strategies and next steps." }, { "id": "blog47", "title": "Medicare Advantage Plans 2026: Complete Guide to Changes, Costs, and How to Choose the Best Plan", "url": "https://humanmedicalbilling.com/blog/medicare-advantage-plans-2026-complete-guide-to-changes-costs-and-how-to-choose-the-best-plan/", "featuredImage": "/images/xpertblog/doctor-explaining-medicare-advantage-plans-to-senior-couple-2026.webp", "author": "Kara Wily", "date": "Oct-03-2025", "tags": [ "Medicare Advantage 2026", "Medicare Advantage plans", "Medicare plan comparison" ], "description": "Discover Medicare Advantage plans 2026 updates, market changes, costs, and how to find the best plan. Learn tips for enrollment and billing." }, { "id": "blog48", "title": "How to Choose the Best Medical Billing Company: The Complete Guide for Healthcare Providers", "url": "https://humanmedicalbilling.com/blog/how-to-choose-the-best-medical-billing-company-the-complete-guide-for-healthcare-providers/", "featuredImage": "/images/xpertblog/successful-medical-billing-services-paid-claims.webp", "author": "Kara Wily", "date": "Oct-08-2025", "tags": [ "medical billing services", "best medical billing company", "physician billing services" ], "description": "Learn how to choose the best medical billing company. Compare costs, expertise, technology, and compliance to avoid common errors and boost revenue." }, { "id": "blog49", "title": "Medicare Physician Fee Schedule Quarterly Update: What Providers Need to Know", "url": "https://humanmedicalbilling.com/blog/medicare-physician-fee-schedule-quarterly-update-october-2025/", "featuredImage": "/images/xpertblog/medical-invoice-online-payment-human-medical-billing.webp", "author": "Kara Wily", "date": "Oct-14-2025", "tags": [ "mpfs october 2025", "medicare physician fee schedule update", "payment policy indicator changes" ], "description": "Discover the Medicare Physician Fee Schedule October 2025 update. Learn new CPT/HCPCS codes, updated payments, & smart denial reduction strategies." }, { "id": "blog50", "title": "Why Private Equity is Targeting Outpatient Cardiology", "url": "https://humanmedicalbilling.com/blog/why-private-equity-is-targeting-outpatient-cardiology/", "featuredImage": "/images/xpertblog/why-private-equity-targeting-outpatient-cardiology-human-medical-billing.webp", "author": "Kara Wily", "date": "Oct-16-2025", "tags": [ "private equity cardiology", "outpatient cardiology", "healthcare private equity" ], "description": "PE is targeting outpatient cardiology. Learn to manage deal risks, boost revenue, and secure your independence with optimized medical billing." }, { "id": "blog51", "title": "104-Minute Rule: Medicare vs CPT Critical Care Billing (2025)", "url": "https://humanmedicalbilling.com/blog/104-minute-rule-medicare-vs-cpt-critical-care-billing-2025/", "featuredImage": "/images/xpertblog/104-minute-rule-cpt-critical-care-billing-human-medical-billing-2025.webp", "author": "Kara Wily", "date": "Oct-30-2025", "tags": [ "104-Minute Rule", "Critical Care Billing", "CPT 99291" ], "description": "Guide to Medicare's 104-Minute Rule for critical care. Learn why CMS needs 104 min to bill 99292, not CPT's 75 min. Avoid compliance risks & revenue loss." }, { "id": "blog52", "title": "Healthcare M&A in Q3 2025: How 367 Physician Deals Hit Billing", "url": "https://humanmedicalbilling.com/blog/healthcare-m-and-a-in-q3-2025-how-367-physician-deals-hit-billing/", "featuredImage": "/images/xpertblog/medical-billing-impact-of-healthcare-mergers-and-acquisitions-2025.webp", "author": "Kara Wily", "date": "Oct-31-2025", "tags": [ "Healthcare M&A", "Q3 2025 Healthcare M&A", "DSO Consolidation" ], "description": "Q3 2025 record M&A surge saw 367 physician deals. Learn how this wave, driven by PE & value-based care, impacts medical billing, & coding." }, { "id": "blog53", "title": "Why Paying for Patient Financial Experience Is the New Competitive Edge for Small Medical Practices", "url": "https://humanmedicalbilling.com/blog/why-paying-for-patient-financial-experience-is-the-new-competitive-edge-for-small-medical-practices/", "featuredImage": "/images/xpertblog/medical-team-reviewing-billing-with-patient-human-medical-billing.webp", "author": "Kara Wily", "date": "Nov-06-2025", "tags": [ "patient financial experience", "digital patient payments", "billing transparency" ], "description": "Clear billing, flexible payment plans, and digital payment options help small practices boost collections, reduce write-offs, and improve patient trust." }, { "id": "blog54", "title": "2026 PFS 2.5% Efficiency Adjustment: Stealth Cut for Specialists", "url": "https://humanmedicalbilling.com/blog/2026-pfs-2-point-5-percent-efficiency-adjustment-stealth-cut-for-specialists/", "featuredImage": "/images/xpertblog/stressed-physician-medical-billing-review-human-medical-billing.webp", "author": "Kara Wily", "date": "Nov-11-2025", "tags": [ "2026 PFS final rule", "Medicare pay cut", "2.5% efficiency adjustment" ], "description": "The 2026 PFS final rule adds a 2.5% efficiency adjustment, a stealth pay cut for procedural medicine. See how this RVU cut erases the 3.26% pay raise." }, { "id": "blog55", "title": "Is Insurer Downcoding Legal? A 2025 State Law Guide", "url": "https://humanmedicalbilling.com/blog/is-insurer-downcoding-legal-a-2025-state-law-guide/", "featuredImage": "/images/xpertblog/insurer-downcoding-legality-us-healthcare-laws-human-medical-billing.webp", "author": "Kara Wily", "date": "Nov-14-2025", "tags": [ "insurer downcoding", "AI downcoding", "Is insurer downcoding legal" ], "description": "New 2025 state laws in Arkansas, Virginia, & Ohio are fighting back against AI downcoding. Read full state-by-state guide & learn how to protect your practice." }, { "id": "blog56", "title": "What Is Credentialing in Medical Billing? A Complete Guide 2025", "url": "https://humanmedicalbilling.com/blog/what-is-credentialing-in-medical-billing-a-complete-guide/", "featuredImage": "/images/xpertblog/medical-provider-reviewing-patient-records-human-medical-billing.webp", "author": "Kara Wily", "date": "Nov-17-2025", "tags": [ "medical credentialing process", "physician credentialing", "CAQH credentialing" ], "description": "It's the process that gets you paid. This 2025 guide details the steps, how to prevent costly claim denials, & the critical credentialing vs. enrollment differences." }, { "id": "blog57", "title": "ACA Subsidy Extension: Will 2026 Premiums Explode?", "url": "https://humanmedicalbilling.com/blog/aca-subsidy-extension-will-2026-premiums-explode/", "featuredImage": "/images/xpertblog/medical-billing-revenue-analysis-laptop-report-human-medical-billing.webp", "author": "Kara Wily", "date": "Nov-19-2025", "tags": [ "ACA subsidy extension", "ACA subsidy cliff", "ACA expiration impact" ], "description": "Will ACA subsidy extension pass? Learn how the 2025 deadline impacts 2026 health insurance premiums, open enrollment, & patient costs in our expert guide." }, { "id": "blog58", "title": "What is PCN on Insurance Card?", "url": "https://humanmedicalbilling.com/blog/what-is-pcn-on-insurance-card/", "featuredImage": "/images/xpertblog/health-insurance-claim-form-online-submission-human-medical-billing.webp", "author": "Kara Wily", "date": "Nov-21-2025", "tags": [ "pcn on insurance card", "processor control number", "locate pcn number" ], "description": "Struggling with pharmacy denials? It might be your PCN code. Learn exactly what this number does, where to find it, and how to fix claim errors quickly." }, { "id": "blog59", "title": "Medicare Inpatient-Only List Ends: 2026 CMS Rule & Impact", "url": "https://humanmedicalbilling.com/blog/medicare-inpatient-only-list-ends-2026-cms-rule-and-impact/", "featuredImage": "/images/xpertblog/medical-billing-team-reviewing-surgical-data-human-medical-billing.webp", "author": "Kara Wily", "date": "Nov-28-2025", "tags": [ "Medicare Inpatient-Only List", "IPO list phase out", "CMS OPPS Final Rule 2026" ], "description": "CMS ends the Medicare Inpatient-Only List starting 2026. See which 285 codes change first, the 2028 timeline, and how to prevent billing denials now." }, { "id": "blog60", "title": "CMS Updates LCDS Version 5.1 & New Fall Injury Coding for 2026", "url": "https://humanmedicalbilling.com/blog/cms-updates-lcds-version-and-new-fall-injury-coding-for-2026/", "featuredImage": "/images/xpertblog/cms-updates-lcds-version-5-1-fall-injury-coding-2026-human-medical-billing.webp", "author": "Kara Wily", "date": "Dec-10-2025", "tags": [ "LCDS Version 5.1 Errata", "J1900 coding guidelines", "LTCH QRP compliance" ], "description": "Effective Jan 1, 2026, the CMS LCDS Version 5.1 Errata updates J1900 definitions for falls with major injury. Learn the rules to secure LTCH QRP compliance." }, { "id": "blog61", "title": "2026 Short-Duration RPM Codes: The 16-Day Rule is Dead", "url": "https://humanmedicalbilling.com/blog/2026-short-duration-rpm-codes-the-16-day-rule-is-dead/", "featuredImage": "/images/xpertblog/remote-patient-monitoring-telehealth-virtual-visit.webp", "author": "Kara Wily", "date": "Dec-15-2025", "tags": [ "Short-Duration RPM", "RPM CPT Codes", "Remote Patient Monitoring 2026" ], "description": "The 16-day rule is dead. New 2026 RPM codes finally allow billing for 2-15 days. Stop losing revenue on acute care - get the new rules here." }, { "id": "blog62", "title": "CPT 92960: Cardioversion Coding & Billing Guide [2026]", "url": "https://humanmedicalbilling.com/blog/cpt-92960-cardioversion-coding-billing-guide-2026/", "featuredImage": "/images/xpertblog/cpt-92960-cardioversion-coding-billing-guide-human-medical-billing.webp", "author": "Kara Wily", "date": "Dec-17-2025", "tags": [ "CPT code 92960", "CPT 92960 vs 92961", "Cardioversion coding guidelines" ], "description": "Updated for 2026: Master CPT code 92960. Get the latest RVUs, correct modifiers, ICD-10 crosswalks, and denial prevention tips for cardioversion procedures." }, { "id": "blog63", "title": "Medicare 2026 Skin Substitute Update: New Coverage & Billing", "url": "https://humanmedicalbilling.com/blog/medicare-2026-skin-substitute-update-new-coverage-billing/", "featuredImage": "/images/xpertblog/medicare-skin-substitute-coverage-wound-care-claim.webp", "author": "Kara Wily", "date": "Dec-18-2025", "tags": [ "2026 LCD skin substitutes", "wound care billing", "CMS skin substitute changes" ], "description": "Stay ahead of the Medicare 2026 Skin Substitute Update. Learn about the $127.14 flat rate, the 18 covered products, and vital LCD coding changes for 2026." }, { "id": "blog64", "title": "New CMS Drug Pricing Models 2026: GLOBE & GUARD Explained", "url": "https://humanmedicalbilling.com/blog/new-cms-drug-pricing-models-2026-globe-guard-explained/", "featuredImage": "/images/xpertblog/healthcare-clinical-team-revenue-cycle-strategy.webp", "author": "Kara Wily", "date": "Dec-26-2025", "tags": [ "CMS GLOBE and GUARD models", "Medicare Part B reimbursement 2026", "Medicare Part D changes" ], "description": "CMS released the GLOBE and GUARD models December. See how these mandatory updates impact Medicare Part B & D reimbursement and billing in 2026." }, { "id": "blog65", "title": "What Is Denial in Medical Billing? Your Guide to Getting Paid Faster", "url": "https://humanmedicalbilling.com/blog/what-is-denial-in-medical-billing-your-guide-to-getting-paid-faster/", "featuredImage": "/images/xpertblog/medical-claim-denied-medical-billing-denial-management.webp", "author": "Kara Wily", "date": "Dec-29-2025", "tags": [ "medical billing denials", "claim denial management", "medical coding errors" ], "description": "Understand what is denial in medical billing and how to fix it. Discover causes and proven strategies to recover revenue. Improve your practice's bottom line." }, { "id": "blog66", "title": "The 2026 Medicare Advantage Shift: Why Denials Will Spike", "url": "https://humanmedicalbilling.com/blog/the-2026-medicare-advantage-shift-why-denials-will-spike/", "featuredImage": "/images/xpertblog/medicare-advantage-denials-provider-burden-2026.webp", "author": "Kara Wily", "date": "Dec-31-2025", "tags": [ "Medicare Advantage 2026", "CMS Rule 0057-F", "HMO vs PPO" ], "description": "The 2026 Great Retreat left 2.9M seniors in limbo. Learn why Medicare Advantage denials are rising and how strict eligibility checks protect your cash flow." }, { "id": "blog67", "title": "PBM Spread Pricing Ban 2026: End of Hidden Pharmacy Costs?", "url": "https://humanmedicalbilling.com/blog/pbm-spread-pricing-ban-2026-end-of-hidden-pharmacy-costs/", "featuredImage": "/images/xpertblog/pbm-spread-pricing-ban-pharmacy-cost-transparency.webp", "author": "Kara Wily", "date": "Jan-06-2026", "tags": [ "PBM spread pricing ban", "California SB 41", "pharmacy benefit manager reforms" ], "description": "New 2026 laws ban PBM spread pricing in key states like California. Learn how SB 41 and Medicaid reforms impact your medical billing and revenue cycle." }, { "id": "blog68", "title": "Top 5 Medical Billing Companies in USA (2026 Review): Why Service Beats Software", "url": "https://humanmedicalbilling.com/blog/top-5-medical-billing-companies-in-usa-2026-review-why-service-beats-software/", "featuredImage": "/images/xpertblog/top-5-medical-billing-companies-usa-2026-human-expertise-vs-software.webp", "author": "Kara Wily", "date": "Jan-13-2026", "tags": [ "best medical billing companies 2026", "top medical billing companies usa", "medical billing outsourcing" ], "description": "We reviewed the best medical billing companies in 2026. Compare top 5 firms on denial rates, fees, & contracts to find winner for your practice." }, { "id": "blog69", "title": "CMS DMEPOS Master List Update 2026: New Billing Rules", "url": "https://humanmedicalbilling.com/blog/cms-dmepos-master-list-update-2026-new-billing-rules/", "featuredImage": "/images/xpertblog/cms-dmepos-face-to-face-encounter-documentation-2026.webp", "author": "Kara Wily", "date": "Jan-14-2026", "tags": [ "CMS-6097-N", "DMEPOS Master List 2026", "face-to-face encounter requirement", "written order prior to delivery" ], "description": "CMS-6097-N expands the DMEPOS Required List. See which items need Face-to-Face encounters & Standard Written Orders (WOPD) by April 13, 2026 to prevent payment denials." }, { "id": "blog70", "title": "2026 Payer Squeeze: Fed Rates & Medical Practice Revenue", "url": "https://humanmedicalbilling.com/blog/2026-payer-squeeze-fed-rates-medical-practice-revenue/", "featuredImage": "/images/xpertblog/payer-squeeze-federal-rates-medical-practice-revenue.webp", "author": "Kara Wily", "date": "Jan-20-2026", "tags": [ "federal reserve rates healthcare impact", "payer squeeze", "medical claim denials", "revenue cycle management 2026" ], "description": "Fed rate cuts in 2026 will lower insurer profits, leading to strict audits and denials. Learn how to protect your medical practice revenue from the squeeze." }, { "id": "blog71", "title": "Medicare 2026: Survival Guide for Private Practices & Hospitals", "url": "https://humanmedicalbilling.com/blog/medicare-2026-survival-guide-for-private-practices-and-hospital-leaders/", "featuredImage": "/images/xpertblog/medicare-2026-survival-guide-private-practice-hospital-leaders.webp", "author": "Kara Wily", "date": "Jan-22-2026", "tags": [ "Medicare 2026", "2026 Medicare Part B deductible", "telehealth rules 2026" ], "description": "Medicare 2026 costs are up. See new Part B rates ($202.90) and permanent telehealth rules. Our billing guide helps solo and group practices protect cash flow." }, { "id": "blog72", "title": "New PBM Transparency Requirements 2026: The Audit Guide", "url": "https://humanmedicalbilling.com/blog/new-pbm-transparency-requirements-2026-the-audit-guide/", "featuredImage": "/images/xpertblog/pbm-transparency-pharmacy-benefits-financial-review-human-medical-billing.webp", "author": "Kara Wily", "date": "February 05, 2026", "description": "Master the 2026 PBM transparency requirements. Learn how EBSA rules impact ERISA plans, expose hidden fees, & empower audits. Download free checklist!", "tags": [ "PBM transparency requirements", "EBSA PBM rule", "PBM audit checklist" ] }, { "id": "blog73", "title": "What is POS 11 in Medical Billing? A Guide for Practices", "url": "https://humanmedicalbilling.com/blog/what-is-pos-11-in-medical-billing-a-guide-for-practices/", "author": "Kara Wily", "date": "February 13, 2026", "featuredImage": "/images/xpertblog/pos-11-medical-billing-office-visit-consultation-human-medical-billing.webp", "featuredImageAlt": "Physician explaining POS 11 office visit details to a patient during a medical billing consultation.", "description": "Understand POS 11 in medical billing and how it impacts your reimbursement. Learn the differences between POS 11, 22, 21, and telehealth rules.", "tags": [ "POS 11 in medical billing", "Place of Service code 11", "POS 11 vs 22" ] }, { "id": "blog74", "title": "Medicare Advantage Enrollment 2026: SNP & Billing Guide", "url": "https://humanmedicalbilling.com/blog/medicare-advantage-enrollment-2026-snp-billing-guide/", "author": "Kara Wily", "date": "February 24, 2026", "featuredImage": "/images/xpertblog/medicare-advantage-snp-billing-guide-stethoscope-form.webp", "featuredImageAlt": "Stethoscope on medical form beside laptop illustrating Medicare Advantage SNP billing documentation – Human Medical Billing.", "description": "Analyze Medicare Advantage Enrollment 2026. See why SNPs are growing, how major carriers shifted, and 3 billing tips for V28 risk adjustment.", "tags": [ "Medicare Advantage Enrollment", "D-SNP enrollment trends", "V28 Risk Adjustment" ] }, { "id": "blog75", "title": "Top 10 Revenue Cycle Management (RCM) Companies (2026)", "url": "https://humanmedicalbilling.com/blog/top-10-revenue-cycle-management-rcm-companies-2026/", "author": "Kara Wily", "date": "February 25, 2026", "featuredImage": "/images/xpertblog/top-rcm-companies-ranking-dashboard-human-medical-billing-2026.webp", "featuredImageAlt": "Digital ranking board displaying “RCM companies” leaderboard in a modern corporate office setting, highlighting top revenue cycle management providers.", "description": "Stop losing 12% to denials. Compare the top 10 RCM companies of 2026. See why Human Medical Billing wins with less than 2% denial rates.", "tags": [ "RCM companies 2026", "best RCM for private practice", "RCM software vs service" ] }, { "id": "blog76", "title": "The End of Paper CLIA: Mandatory Digital Shifts in 2026", "url": "https://humanmedicalbilling.com/blog/the-end-of-paper-clia-mandatory-digital-shifts-in-2026/", "author": "Kara Wily", "date": "March 02, 2026", "featuredImage": "/images/xpertblog/clia-digital-update-2026-lab-compliance-human-medical-billing.webp", "featuredImageAlt": "Laboratory staff updating CLIA compliance digitally in 2026, highlighting the shift from paper processes to electronic systems.", "description": "CMS ends paper CLIA on March 1, 2026. Use our guide to update Form CMS-116 and Pay.gov to avoid technical denials. Protect your lab revenue today.", "tags": [ "CLIA 2026 update", "mandatory digital CLIA", "Pay.gov CLIA fees" ] }, { "id": "blog77", "title": "RCM Vendor Cybersecurity Audits: 2026 HIPAA Requirements", "url": "https://humanmedicalbilling.com/blog/rcm-vendor-cybersecurity-audits-2026-hipaa-requirements/", "author": "Kara Wily", "date": "March 05, 2026", "featuredImage": "/images/xpertblog/healthcare-rcm-ransomware-cybersecurity-risk-hipaa-2026-human-medical-billing.webp", "featuredImageAlt": "Ransomware cybersecurity threat affecting healthcare revenue cycle management systems and HIPAA compliance.", "description": "2026 HIPAA updates mandate RCM vendor security verification. Discover why HITRUST and SOC 2 Type II certifications protect your practice.", "tags": [ "RCM vendor cybersecurity", "HIPAA compliance updates 2026", "HITRUST RCM vendor" ] }, { "id": "blog78", "title": "2026 Telehealth: Virtual Direct Supervision Now Permanent", "url": "https://humanmedicalbilling.com/blog/2026-telehealth-virtual-direct-supervision-now-permanent/", "author": "Kara Wily", "date": "March 10, 2026", "featuredImage": "/images/xpertblog/telehealth-virtual-direct-supervision-video-consultation.webp", "featuredImageAlt": "Patient holding a smartphone during a telehealth video visit with a physician, illustrating virtual direct supervision in healthcare.", "description": "CMS made virtual direct supervision in telehealth permanent in the 2026 MPFS. Learn the new billing and compliance rules to protect your practice revenue.", "tags": [ "Virtual Direct Supervision", "2026 Telehealth", "2026 MPFS Final Rule" ] }, { "id": "blog79", "title": "Medicaid Provider Tax Rule 2026: Get Ready for April 3 Deadline", "url": "https://humanmedicalbilling.com/blog/medicaid-provider-tax-rule-2026-what-billing-teams-must-do-before-april-3/", "author": "Kara Wily", "date": "March 13, 2026", "featuredImage": "/images/xpertblog/medicaid-provider-tax-rule-deadline-april-3-2026-human-medical-billing.webp", "featuredImageAlt": "Medicaid provider tax rule deadline on April 3 highlighted with a clock graphic, emphasizing tax compliance for healthcare providers.", "description": "CMS finalized the Medicaid provider tax rule effective April 3, 2026. Learn what billing teams in affected states must do before compliance deadlines.", "tags": [ "Medicaid provider tax 2026", "CMS MCO tax rule", "Medicaid billing compliance" ] }, { "id": "blog80", "title": "CMS Anti-Fraud CRUSH Rule Puts Every Biller at Risk", "url": "https://humanmedicalbilling.com/blog/cms-anti-fraud-crush-rule-puts-every-biller-at-risk/", "featuredImage": "/images/xpertblog/medical-claims-fraud-risk-audit-compliance-billing.webp", "featuredImageAlt": "Medical claim form marked \"Fraud Risk\" under review, highlighting audit and compliance risks in medical billing", "author": "Kara Wily", "date": "April 22, 2026", "description": "CMS's CRUSH initiative is already revoking billing privileges & suspending payments. Learn what the CRUSH rule means for your practice and what to do now.", "tags": [ "CMS CRUSH rule", "DMEPOS enrollment moratorium", "CMS anti-fraud initiative" ] }, { "id": "blog81", "title": "Q2 2026 HCPCS Update: 36 New Codes Billers Must Know Now", "url": "https://humanmedicalbilling.com/blog/q2-2026-hcpcs-update-36-new-codes-billers-must-know-now/", "featuredImage": "/images/xpertblog/q2-2026-hcpcs-update-36-new-codes-medical-billing.webp", "featuredImageAlt": "Q2 2026 HCPCS update showing 36 new codes for injectables, biologics, and billing changes on a laptop dashboard.", "author": "Kara Wily", "date": "April 23, 2026", "description": "The Q2 2026 HCPCS Level II update adds 36 new codes, 17 PLA codes, & 6 sleep apnea C-codes. Learn what changed & what your billing team must do now.", "tags": [ "Q2 2026 HCPCS update", "HCPCS Level II 2026", "medical billing code changes" ] }, { "id": "blog82", "title": "HETS EDI Attestation Due May 11: No Attestation, No Eligibility", "url": "https://humanmedicalbilling.com/blog/hets-edi-attestation-due-may-11-2026-no-attestation-no-eligibility/", "featuredImage": "/images/xpertblog/hets-edi-attestation-deadline-may-11-2026-medicare-eligibility-human-medical-billing.webp", "featuredImageAlt": "Medicare HETS EDI attestation deadline May 11 2026 with NPI enrollment and eligibility verification reminder.", "author": "Kara Wily", "date": "April 24, 2026", "description": "CMS requires HETS EDI enrollment attestation by May 11, 2026. Miss it and Medicare eligibility checks get rejected. Here's what to do now.", "tags": [ "HETS EDI enrollment", "Medicare eligibility verification", "CMS HETS attestation 2026" ] }, { "id": "blog83", "title": "EHR vs EMR: Why the Difference Affects Your Billing", "url": "https://humanmedicalbilling.com/blog/ehr-vs-emr-why-the-difference-affects-your-billing/", "featuredImage": "/images/xpertblog/emr-vs-ehr-differences-impact-medical-billing-human-medical-billing.webp", "featuredImageAlt": "EMR vs EHR comparison highlighting single practice records, limited sharing versus multi-provider access and patient-centered data.", "author": "Kara Wily", "date": "April 29, 2026", "description": "EMR and EHR aren't the same and for billing teams, the difference affects MIPS scores, clean claims, and CMS compliance. Here's what to know.", "tags": [ "EHR vs EMR", "medical billing EHR", "MIPS Promoting Interoperability", "CEHRT requirements", "healthcare revenue cycle" ] }, { "id": "blog84", "title": "NCCI Q3 2026 Add-On Code Edits: What Changes July 1", "url": "https://humanmedicalbilling.com/blog/ncci-q3-2026-add-on-code-edits-what-changes-july-1/", "featuredImage": "/images/xpertblog/medical-billing-calendar-july-1-compliance-deadline.webp", "featuredImageAlt": "Medical billing calendar marked July 1 with stethoscope and documents, highlighting healthcare compliance deadline.", "author": "Kara Wily", "date": "May 05, 2026", "description": "CMS published NCCI Q3 2026 add-on code edits effective July 1. Learn what changed for AOC pairings and the ESRD AX modifier before claims are denied.", "tags": [ "NCCI add-on code edits", "CMS Q3 2026 NCCI update", "ESRD AX modifier change" ] }, { "id": "blog85", "title": "Medicaid Noncitizen Funding Ends Oct. 1: What Providers Must Do Now", "url": "https://humanmedicalbilling.com/blog/medicaid-noncitizen-funding-ends-oct-1-what-providers-must-do-now/", "featuredImage": "/images/xpertblog/medicaid-noncitizen-funding-ending-october-2026-provider-action-guide-human-medical-billing.webp", "featuredImageAlt": "Illustration showing Medicaid noncitizen funding ending October 2026 with healthcare providers preparing for coverage and billing changes.", "author": "Kara Wily", "date": "May 07, 2026", "description": "CMS ends federal Medicaid matching funds for refugees, asylees, and parolees Oct. 1, 2026. Learn how to protect reimbursement before the deadline.", "tags": [ "Medicaid noncitizen coverage 2026", "CMS SHO 26-001", "Medicaid eligibility changes" ] }, { "id": "blog86", "title": "CMS Names 29 Early Adopters for Electronic Prior Authorization Before 2027", "url": "https://humanmedicalbilling.com/blog/cms-names-29-early-adopters-for-electronic-prior-authorization-before-2027/", "featuredImage": "/images/xpertblog/electronic-prior-authorization-2027-ready-healthcare-automation-human-medical-billing.webp", "featuredImageAlt": "Electronic prior authorization workflow showing automated requests, faster decisions, better patient experience, and 2027 readiness.", "author": "Kara Wily", "date": "May 18, 2026", "description": "CMS announces 29 healthcare organizations as early adopters for electronic prior authorization ahead of January 2027 requirements. Learn how this affects your practice.", "tags": [ "electronic prior authorization", "CMS prior authorization rule", "FHIR prior authorization" ] }, { "id": "blog87", "title": "CMS's New No Surprises Act Remittance Codes Explained", "url": "https://humanmedicalbilling.com/blog/cms-new-no-surprises-act-remittance-codes-explained/", "featuredImage": "/images/xpertblog/cms-no-surprises-act-remittance-codes-explained.webp", "featuredImageAlt": "Healthcare billing illustration showing CMS No Surprises Act remittance advice, payment transparency, and claim settlement process by Human Medical Billing.", "author": "Kara Wily", "date": "July 28, 2026", "description": "CMS's new No Surprises Act remittance codes take effect in 2027. Here's what billing teams need to update before the deadline hits.", "tags": [ "No Surprises Act", "RARC codes", "Federal IDR process", "remittance advice", "medical billing compliance" ] }, { "id": "blog88", "title": "CMS Medicaid Provider Tax Rule Cuts $246B What It Means", "url": "https://humanmedicalbilling.com/blog/cms-medicaid-provider-tax-rule-246b-cut-explained/", "featuredImage": "/images/xpertblog/cms-medicaid-provider-tax-rule-cuts-246b.webp", "featuredImageAlt": "Illustration showing a $246 billion Medicaid provider tax cut with declining funding, healthcare finance icons, and medical billing concepts by Human Medical Billing.", "author": "Kara Wily", "date": "August 3, 2026", "description": "The CMS Medicaid provider tax rule cuts $246B in federal spending by 2035. See how new thresholds hit provider pay and what your team should do now.", "tags": [ "Medicaid provider tax rule", "CMS-2452-P", "Medicaid funding cuts 2026" ] }, { "id": "blog89", "title": "AMA Adds 58 New Category III CPT Codes for 2027", "url": "https://humanmedicalbilling.com/blog/ama-new-category-iii-cpt-codes-2027/", "featuredImage": "/images/xpertblog/ama-58-new-category-iii-cpt-codes-2027.webp", "featuredImageAlt": "Illustration highlighting 58 new Category III CPT codes for 2027 with healthcare coding and medical billing elements by Human Medical Billing.", "author": "Kara Wily", "date": "August 5, 2026", "description": "AMA approved 58 new 2027 Category III CPT codes plus 3 revisions for liver perfusion. See what changed and what billing teams should do before January 2027.", "tags": [ "2027 Category III CPT codes", "liver allograft perfusion coding", "AMA CPT code updates", "transplant billing codes", "Category III CPT code changes" ] }, { "id": "blog90", "title": "FY 2027 Post-Acute Payment Rules: October 1 Cutover", "url": "https://humanmedicalbilling.com/blog/fy-2027-post-acute-payment-rules-october-1-cutover/", "featuredImage": "/images/xpertblog/fy-2027-post-acute-payment-rules-october-1-cutover.webp", "featuredImageAlt": "FY 2027 post-acute payment rules showing the October 1 cutover, compliance updates, payment changes, and policy requirements.", "author": "Kara Wily", "date": "August 11, 2026", "description": "FY 2027 post-acute payment rules take effect October 1. See SNF, IRF, IPF, and hospice rate updates plus the new mandatory hospice addendum.", "tags": [ "FY 2027 post-acute payment rules", "SNF PPS final rule 2027", "CMS-1851-F" ] }, { "id": "blog91", "title": "SNF VBP FY 2027: Your August Report Sets the Payment Rate", "url": "https://humanmedicalbilling.com/blog/snf-vbp-fy-2027-august-report-payment-rate/", "featuredImage": "/images/xpertblog/snf-vbp-fy-2027-august-report-payment-rate.webp", "featuredImageAlt": "SNF VBP FY 2027 illustration showing the August report, performance data, and payment rate calculation for skilled nursing facilities.", "author": "Kara Wily", "date": "August 13, 2026", "description": "CMS released FY 2027 SNF VBP reports with your incentive payment multiplier. Learn what the 8 measures mean and the August 30 deadline.", "tags": [ "SNF VBP FY 2027", "incentive payment multiplier", "skilled nursing facility billing" ] }, { "id": "blog92", "title": "19 New HCPCS Codes Hit Home Health Billing Oct. 1, 2026", "url": "https://humanmedicalbilling.com/blog/19-new-hcpcs-codes-home-health-billing-2026/", "featuredImage": "/images/xpertblog/19-new-hcpcs-codes-home-health-billing-october-1-2026.webp", "featuredImageAlt": "19 new HCPCS codes taking effect October 1, 2026, with home health billing, coding, and healthcare payment elements.", "author": "Kara Wily", "date": "August 14, 2026", "description": "CMS adds 19 new HCPCS codes to home health consolidated billing, effective Oct. 1, 2026. See what changes for billers and DME suppliers.", "tags": [ "HCPCS codes 2026", "CMS home health billing update", "non-routine supply codes" ] }, { "id": "blog93", "title": "Medicaid Work Requirements Deadline: What Billing Teams Must Track Now", "url": "https://humanmedicalbilling.com/blog/medicaid-work-requirements-deadline-billing-teams/", "featuredImage": "/images/xpertblog/medicaid-work-requirement-exemption-categories.webp", "featuredImageAlt": "Medicaid work requirements deadline with a billing team checklist covering eligibility, work status, documentation, reporting, and claims compliance.", "author": "Kara Wily", "date": "August 18, 2026", "description": "States must notify Medicaid enrollees about new work requirements by Aug. 31, 2026. Here's what billing teams need to track before 2027.", "tags": [ "Medicaid work requirements", "Medicaid expansion 2026", "CMS interim final rule" ] }, { "id": "blog94", "title": "Federal Court Blocks 8 Provisions of the 2027 ACA Marketplace Rule", "url": "https://humanmedicalbilling.com/blog/federal-court-blocks-8-provisions-2027-aca-marketplace-rule/", "featuredImage": "/images/xpertblog/federal-court-blocks-8-provisions-2027-aca-marketplace-rule.webp", "featuredImageAlt": "Federal court blocking eight provisions of the 2027 ACA Marketplace Rule, illustrated with a gavel, healthcare shield, and medical documents.", "author": "Kara Wily", "date": "August 19, 2026", "description": "A federal court paused 8 provisions of CMS's 2027 ACA marketplace rule. See what changed and what billing teams should verify now.", "tags": [ "2027 ACA marketplace rule", "CMS 2027 final rule", "ACA subsidy eligibility" ] }, { "id": "blog95", "title": "CMS 2027 MVP Changes Hit All 27 Existing Pathways", "url": "https://humanmedicalbilling.com/blog/cms-2027-mvp-changes-27-existing-pathways/", "featuredImage": "/images/xpertblog/cms-2027-mvp-changes-27-existing-pathways.webp", "featuredImageAlt": "CMS 2027 MVP changes affecting all 27 existing pathways, illustrated with healthcare performance, reporting, and clinical care indicators.", "author": "Kara Wily", "date": "August 22, 2026", "description": "CMS proposes 2027 MVP changes across all 27 pathways plus 3 new options. See what billing teams need to track before the rule finalizes this fall.", "tags": [ "MIPS Value Pathways", "MVP reporting", "CMS 2027 proposed rule" ] }, { "id": "blog96", "title": "AI Revenue Cycle Management: 63% Adopted, 15% Paid Off", "url": "https://humanmedicalbilling.com/blog/ai-revenue-cycle-management-63-percent-adopted-15-percent-paid-off/", "featuredImage": "/images/xpertblog/ai-revenue-cycle-management-63-percent-adopted-15-percent-paid-off.webp", "featuredImageAlt": "AI revenue cycle management showing 63% adoption and 15% paid off across patient registration, insurance verification, claims, payments, and analytics.", "author": "Kara Wily", "date": "August 24, 2026", "description": "63% of practices use AI revenue cycle management tools, but only 15% see ROI. See the data, why the gap exists, and a vendor checklist.", "tags": [ "AI revenue cycle management", "denial management", "RCM automation" ] }, { "id": "blog97", "title": "CMS Wants Feedback on FHIR-Based Quality Reporting by 2030", "url": "https://humanmedicalbilling.com/blog/cms-fhir-based-quality-reporting-2030/", "featuredImage": "/images/xpertblog/cms-fhir-based-quality-reporting-feedback-2030.webp", "featuredImageAlt": "CMS FHIR-based quality reporting graphic showing feedback, interoperability, quality measures, secure data exchange, and the 2030 target.", "author": "Kara Wily", "date": "August 26, 2026", "description": "CMS proposes FHIR-based quality reporting for QPP, mandatory by 2030. See what billing teams should do before the transition begins.", "tags": [ "FHIR quality reporting", "MIPS reporting changes", "QPP RFI 2028" ] }, { "id": "blog98", "title": "2027 Medicare Physician Fee Schedule: What It Cuts", "url": "https://humanmedicalbilling.com/blog/2027-medicare-physician-fee-schedule-cuts/", "featuredImage": "/images/xpertblog/2027-medicare-physician-fee-schedule-cuts.webp", "featuredImageAlt": "2027 Medicare Physician Fee Schedule showing payment cuts, declining reimbursement rates, and financial impact on physician services.", "author": "Kara Wily", "date": "August 28, 2026", "description": "The 2027 Medicare Physician Fee Schedule cuts pay and changes E/M billing rules. See what's proposed and how to prepare your claims before January.", "tags": [ "2027 Medicare Physician Fee Schedule", "CMS conversion factor 2027", "G2211 modifier" ] }, { "id": "blog99", "title": "CMS Prior Authorization Rules 2026: What to Expect", "url": "https://humanmedicalbilling.com/blog/cms-prior-authorization-rules-2026-payer-expectations/", "featuredImage": "/images/xpertblog/cms-prior-authorization-rules-2026-payer-requirements.webp", "featuredImageAlt": "CMS prior authorization rules for 2026 showing payer guidelines, clinical review, medical necessity, timely decisions, and patient access.", "author": "Kara Wily", "date": "August 31, 2026", "description": "New CMS prior authorization rules 2026 set 72-hour and 7-day payer deadlines. See what changed and what your billing team should track now.", "tags": [ "CMS-0057-F", "prior authorization 2026", "medical billing compliance" ] }, { "id": "blog100", "title": "New Federal IDR Gateway Rules Hit Practices Nov. 1", "url": "https://humanmedicalbilling.com/blog/new-federal-idr-gateway-rules-november-1/", "featuredImage": "/images/xpertblog/new-federal-idr-gateway-rules-medical-practices.webp", "featuredImageAlt": "New federal IDR gateway rules taking effect November 1 for medical practices.", "author": "Kara Wily", "date": "September 2, 2026", "description": "CMS's Federal IDR Gateway rule cuts fees, changes batching, and moves dispute filing to a new portal starting November 1, 2026.", "tags": [ "Federal IDR Gateway", "No Surprises Act", "IDR batching rules" ] }, { "id": "blog101", "title": "Medicare Advantage Denials: 95% Overturned in 2026", "url": "https://humanmedicalbilling.com/blog/oig-report-medicare-advantage-prior-authorization-denials/", "featuredImage": "/images/xpertblog/oig-report-medicare-advantage-prior-authorization-denials-human-medical-billing.webp", "featuredImageAlt": "OIG report highlights gaps in Medicare Advantage prior authorization denials.", "author": "Kara Wily", "date": "September 4, 2026", "description": "New OIG data shows Medicare Advantage prior authorization denials overturned 95% of the time on appeal for SNF admissions. See what billing teams should do next.", "tags": [ "Medicare Advantage denials", "prior authorization", "OIG report" ] }, { "id": "blog102", "title": "2027 ICD-10 Code Changes: What Billing Teams Risk", "url": "https://humanmedicalbilling.com/blog/2027-icd-10-code-changes-billing-team-risks/", "featuredImage": "/images/xpertblog/2027-icd-10-code-changes-billing-team-risks-human-medical-billing.webp", "featuredImageAlt": "2027 ICD-10 code changes highlighting compliance, revenue, claim denial, and operational risks for billing teams.", "author": "Kara Wily", "date": "September 7, 2026", "description": "The 2027 ICD-10 code changes add 190 codes and delete 30 starting Oct. 1. See the denial risks billing teams face and how to prepare now.", "tags": [ "ICD-10 2027 updates", "medical coding changes 2026", "denial management" ] }, { "id": "blog103", "title": "2027 Maternity Billing Codes: What Changes Jan. 1", "url": "https://humanmedicalbilling.com/blog/2027-maternity-billing-codes-changes-jan-1/", "featuredImage": "/images/xpertblog/2027-maternity-billing-codes-changes-jan-1.webp", "featuredImageAlt": "2027 maternity billing codes with Jan. 1 changes, CPT codes, reimbursement, and maternity care.", "author": "Kara Wily", "date": "September 10, 2026", "description": "The 2027 maternity billing codes retire global OB billing for phase-specific codes. See what changes for antepartum, labor, and delivery claims.", "tags": [ "2027 CPT codes", "maternity billing changes", "global OB code retirement" ] }, { "id": "blog104", "title": "Traditional MIPS Is Ending: What Billing Teams Need to Do", "url": "https://humanmedicalbilling.com/blog/traditional-mips-ending-what-billing-teams-need-to-do/", "featuredImage": "/images/xpertblog/traditional-mips-sunset-3-new-mvps-human-medical-billing.webp", "featuredImageAlt": "Traditional MIPS sunset with three new MVPs coming for Medicare quality reporting.", "author": "Kara Wily", "date": "September 11, 2026", "description": "CMS proposes ending traditional MIPS after 2028. See what the MIPS Value Pathways transition means for your billing team and how to prepare now.", "tags": [ "MIPS Value Pathways", "CMS PFS 2027 proposed rule", "MIPS sunset" ] }, { "id": "blog105", "title": "2027 OB GYN Billing Changes: One Workflow or Two?", "url": "https://humanmedicalbilling.com/blog/2027-ob-gyn-billing-changes-one-workflow-or-two/", "featuredImage": "/images/xpertblog/2027-ob-gyn-billing-changes-workflow.webp", "featuredImageAlt": "2027 OB GYN billing changes comparing one workflow with two workflow options for medical billing teams.", "author": "Kara Wily", "date": "September 16, 2026", "description": "New CPT codes and proposed Medicare G-codes could split 2027 OB GYN billing changes into two payer workflows. See what to prep before January.", "tags": [ "2027 OB GYN billing changes", "obstetric G codes 2027", "global maternity billing 2027" ] }, { "id": "blog106", "title": "UnitedHealthcare Prior Authorization Changes: Oct. 1", "url": "https://humanmedicalbilling.com/blog/unitedhealthcare-prior-authorization-changes-october-1/", "featuredImage": "/images/xpertblog/unitedhealthcare-prior-authorization-changes-october-1.webp", "featuredImageAlt": "UnitedHealthcare prior authorization changes for October 1, highlighting medical policy, documentation, claims, and patient care.", "author": "Kara Wily", "date": "September 17, 2026", "description": "UnitedHealthcare drops prior authorization on 1,700 codes Oct. 1, 2026. See what billing teams must verify before assuming a code is exempt.", "tags": [ "UnitedHealthcare prior authorization", "prior auth changes 2026", "medical billing compliance" ] }, { "id": "blog107", "title": "8 Revenue Cycle Checkpoints That Stop Medical Billing Denials Early", "url": "https://humanmedicalbilling.com/blog/medical-billing-denial-prevention-8-rcm-checkpoints/", "featuredImage": "/images/xpertblog/8-revenue-cycle-checkpoints-medical-billing-denials.webp", "featuredImageAlt": "8 revenue cycle checkpoints that help prevent medical billing denials early.", "author": "Kara Wily", "date": "September 18, 2026", "description": "Stop claim denials before they start. See the 8 revenue cycle checkpoints, owners, and KPIs that prevent medical billing denials in 2026-2027.", "tags": [ "medical billing denial prevention", "revenue cycle checkpoints", "prior authorization denials", "CMS interoperability rule", "claim denial management" ] }, { "id": "blog108", "title": "Independent Medical Practice Economics: 2026 Reality Check", "url": "https://humanmedicalbilling.com/blog/independent-medical-practice-economics-2026-reality-check/", "featuredImage": "/images/xpertblog/independent-medical-practice-economics-2026-reality-check.webp", "featuredImageAlt": "Independent medical practice economics in 2026, highlighting costs, revenue, financial planning, and sustainability.", "author": "Kara Wily", "date": "September 21, 2026", "description": "See what's really shaping independent medical practice economics in 2026, from Medicare cuts to overhead, and what to keep in house versus outsource.", "tags": [ "independent medical practice", "Medicare physician payment 2027", "practice revenue cycle management" ] }, { "id": "blog109", "title": "CMS Ambulatory Specialty Model 2027: Final List Is Out", "url": "https://humanmedicalbilling.com/blog/cms-ambulatory-specialty-model-2027-final-list/", "featuredImage": "/images/xpertblog/cms-ambulatory-specialty-model-2027-final-list.webp", "featuredImageAlt": "CMS Ambulatory Specialty Model 2027 final list with specialty care, payment model, participation, and key updates", "author": "Kara Wily", "date": "September 23, 2026", "description": "CMS finalized the Ambulatory Specialty Model 2027 participant list. See which cardiologists must report, payment adjustment ranges, and next steps.", "tags": [ "CMS Ambulatory Specialty Model", "cardiology billing 2027", "heart failure payment model", "Medicare Part B payment adjustment", "cardiology MIPS reporting" ] }, { "id": "blog110", "title": "Podiatry Medicare Reimbursement 2027: APMA Warns of 6% Cut", "url": "https://humanmedicalbilling.com/blog/podiatry-medicare-reimbursement-2027-6-percent-cut/", "featuredImage": "/images/xpertblog/podiatry-medicare-reimbursement-2027-6-percent-cut.webp", "featuredImageAlt": "Podiatry Medicare reimbursement 2027 showing a 6% cut, declining payments, and healthcare financial impact.", "author": "Kara Wily", "date": "September 26, 2026", "description": "APMA estimates a 6% podiatry Medicare cut in the CY 2027 proposed rule, driven by a Modifier 25 same-day change. Here's what to check now.", "tags": [ "podiatry billing", "Medicare Physician Fee Schedule 2027", "podiatry Medicare payment cut" ] }, { "id": "blog111", "title": "2025 MIPS Final Score Is Out: Check It Before 2027 Pay", "url": "https://humanmedicalbilling.com/blog/2025-mips-final-score-2027-payment/", "featuredImage": "/images/xpertblog/2025-mips-final-score-2027-payment-impact.webp", "featuredImageAlt": "2025 MIPS final score dashboard showing performance results and 2027 payment impact.", "author": "Kara Wily", "date": "September 28, 2026", "description": "Your 2025 MIPS final score sets 2027 Medicare Part B pay. See the adjustment scale, common errors, and how to file a targeted review in time.", "tags": [ "2025 MIPS final score", "MIPS targeted review", "2027 MIPS payment adjustment" ] }, { "id": "blog112", "title": "Reduce Days in A/R When Payers Keep Holding Claims", "url": "https://humanmedicalbilling.com/blog/reduce-days-in-ar-payer-claim-delays/", "featuredImage": "/images/xpertblog/reduce-days-in-ar-payer-claim-delays.webp", "featuredImageAlt": "Medical billing workflow showing payer claim delays, A/R aging, claims on hold, and steps to reduce days in A/R.", "author": "Kara Wily", "date": "September 30, 2026", "description": "Payer delays are stretching payment times. See what MGMA's 2026 polls show and learn five ways to reduce days in A/R. Get the steps for your team.", "tags": [ "days in A/R", "accounts receivable", "prior authorization" ] }, { "id": "blog113", "title": "Chronic Care Management Billing: OIG Audit Checklist", "url": "https://humanmedicalbilling.com/blog/chronic-care-management-billing-oig-audit-checklist/", "featuredImage": "/images/xpertblog/chronic-care-management-billing-oig-audit-checklist.webp", "featuredImageAlt": "Chronic care management billing with an OIG audit checklist covering documentation, eligibility, care plans, and billing accuracy.", "author": "Kara Wily", "date": "October 2, 2026", "description": "OIG is auditing chronic care management billing. Use this checklist to fix consent, care plan, and time log gaps before a records request.", "tags": [ "chronic care management billing", "CCM audit", "OIG Work Plan" ] }, { "id": "blog114", "title": "MIPS 2027 Changes: CMS Wants to Drop High Priority Measures", "url": "https://humanmedicalbilling.com/blog/mips-2027-changes-high-priority-measures/", "featuredImage": "/images/xpertblog/mips-2027-changes-high-priority-measures.webp", "featuredImageAlt": "MIPS 2027 changes showing a healthcare policy update and removal of a quality measure.", "author": "Kara Wily", "date": "October 5, 2026", "description": "MIPS 2027 changes would replace high priority measures with a 78-measure list and drop the Security Risk Analysis measure. See what to check.", "tags": [ "MIPS 2027 changes", "MIPS high priority measures", "Promoting Interoperability" ] }, { "id": "blog115", "title": "FY 2027 ICD-10-CM Changes for OB/GYN Practices", "url": "https://humanmedicalbilling.com/blog/fy-2027-icd-10-cm-changes-ob-gyn-practices/", "featuredImage": "https://humanmedicalbilling.com/images/xpertblog/fy-2027-icd-10-cm-changes-ob-gyn-practices.webp", "featuredImageAlt": "FY 2027 ICD-10-CM changes for OB/GYN practices with updated coding materials and clinical documentation", "author": "Kara Wily", "date": "October 8, 2026", "description": "FY 2027 ICD-10 OB/GYN codes took effect October 1, 2026. Review ectopic pregnancy, vanishing twin and claim workflow changes now.", "tags": [ "FY 2027 ICD-10-CM", "OB/GYN medical billing", "ectopic pregnancy ICD-10 2027" ] }, { "id": "blog116", "title": "UnitedHealthcare Pediatric Prior Authorization Changes Start December 1, 2026", "url": "https://humanmedicalbilling.com/blog/unitedhealthcare-pediatric-prior-authorization-changes/", "featuredImage": "https://humanmedicalbilling.com/images/xpertblog/unitedhealthcare-pediatric-prior-authorization-changes-december-2026.webp", "featuredImageAlt": "UnitedHealthcare pediatric prior authorization changes starting December 1, 2026, with approval paperwork and a highlighted calendar date.", "author": "Kara Wily", "date": "October 9, 2026", "description": "UnitedHealthcare pediatric prior authorization 2026 cuts start Dec. 1 for select codes. See which plans apply and how your practice can prepare.", "tags": [ "UnitedHealthcare prior authorization", "pediatric prior authorization", "UHC prior authorization changes" ] } ]