The 2026 CPT coding updates took effect January 1, 2026, with the most significant changes affecting remote patient monitoring, telehealth billing, evaluation and management documentation, and interventional radiology. CMS published the full list of new, revised, and deleted codes in the annual update to the CPT/HCPCS code list, available directly from CMS.gov. Claims submitted with […]
CPT Code Modifiers, E/M coding, Interventional Radiology, Remote Patient Monitoring, Telehealth Billing
Three medical billing trends are having the most immediate operational impact in 2026. AI-powered claim scrubbing and denial prediction becoming standard in billing departments of all sizes, electronic prior authorization reaching meaningful interoperability across major payers, and value-based payment arrangements tying a growing share of reimbursement to quality metrics rather than visit volume. Each trend […]
AI, Cybersecurity, Interoperability, Price Transparency, Prior Authorization, Telehealth Billing
The 2026 CMS rules for Evaluation and Management services and telehealth introduce changes that affect how providers document visits, select E/M code levels, and bill for remote care. The changes are not cosmetic adjustments to existing guidelines, they modify how medical decision-making components are weighted, clarify time-based coding for total encounter time, and establish which […]
E/M, E/M coding, Telehealth Billing
Telehealth’s recurring cliff is something healthcare providers have been sounding the alarm about for years, and the federal government shutdown that stretched from October 1 through November 12, 2025 made it impossible to ignore. Critical telehealth programs and hospital-at-home waivers had been tied to short-term spending legislation, turning them into hostages every time Congress fought […]
Acute Hospital Care at Home, Congress, CONNECT for Health Act, Medicare Telehealth Waivers, Telehealth Billing
Primary care billing hinges on selecting the right CPT code and in a practice that may see 25 or more patients daily, small coding errors multiply into significant revenue loss and compliance risk. This guide covers every major CPT code category used in primary care billing, including Evaluation & Management (E&M) visits, preventive exams, chronic […]
E&M Codes, Medical Coding, Preventive Care Billing, Primary Care Billing, Telehealth Billing
CPT codes for telestroke and teleneurology billing depend on how care is delivered by telehealth. Telestroke and teleneurology refer to the use of telehealth to provide acute stroke care and neurological care from a distance. This allows neurologists and stroke specialists to evaluate and manage patients in hospitals or clinics that may not have specialty care […]
Telehealth Billing, Telemedicine Billing, Teleneurology Billing, Teleneurology CPT Codes, Telestroke Billing, Telestroke CPT Codes