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Q3 2025 PLA Code Updates 23 New AMA Lab Tests to Know

Q3 2025 PLA Code Updates: 23 New AMA Lab Tests to Know

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

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What’s Changing in Medicaid under the 2025 Reconciliation Bill

What’s Changing in Medicaid under the 2025 Reconciliation Bill?

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

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Doctors vs. Private Equity – Healthcare legislation 2025 Explained

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

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Medical Billing for Multi-Specialty Practices – 5 Must-Know Hacks

Introduction Welcome to our comprehensive guide on medical billing for multi-specialty practices. In this blog, we will explore the challenges and solutions related to medical billing for multi-specialty practices. Whether you’re a healthcare provider, administrator, or someone interested in understanding the complexities of medical billing in a multi-specialty setting, this

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Denial Prevention Checklist: First-Time Approval Guaranteed!

Introduction In the constantly changing healthcare revenue cycle management landscape, denials are a persistent issue. Each denied claim not only holds up payment but also adds to administrative workload and adversely affects cash flow. A good denial prevention strategy ensures first-time approval of claims, saving revenue loss and enhancing efficiency.

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Medical Billing Services: What No One Tells You in 2025!

Introduction The medical industry is evolving rapidly, and among the most critical aspects of running a successful clinic is medical billing. With excessive administrative expenses, complex insurance procedures, and the necessity of keeping patients satisfied, physicians are increasingly using professional medical billing services to enhance their operations, minimize errors, and

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The Role of Medical Billing in Revenue Cycle Management

Introduction Revenue cycle management is essentially the system for the management of revenues by the health care service providers. They get paid right and on time by the hospitals and clinics offering them services. This system contains the medical billing aspect, through which the claim submitted to insurance gets processed

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