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 […]
Cybersecurity, FHIR, Price Transparency, Revenue Cycle, 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
Healthcare providers have been sounding the alarm for years, and the federal government shutdown that stretched from October 1 through November 12, 2025 made the problem 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 over the budget. Since then, […]
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: Evaluation & Management (E&M) visits, preventive exams, chronic care […]
Chronic Care Management, CPT Codes, E&M Codes, Evaluation and Management, Medical Coding, Preventive Care Billing, Primary Care Billing, Remote Patient Monitoring, Telehealth Billing
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 available onsite. The use of telehealth and virtual care models in neurology has grown enormously […]
Telehealth Billing, Telemedicine Billing, Teleneurology Billing, Teleneurology CPT Codes, Telestroke Billing, Telestroke CPT Codes
The COVID-19 pandemic triggered an explosion in telehealth utilization across healthcare. While telehealth billing processes matured during the public health emergency, new complexities are emerging as virtual care delivery models expand. Practices must stay updated on billing and coding guidelines for telemedicine services spanning video visits, remote patient monitoring, mental health apps, and more. We […]
(POS) Codes, Chronic Care Management, Digital Therapeutics, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, RCM, Remote Patient Monitoring, Remote Patient Monitoring (RPM), Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, RPM for Clinical Trials, Telehealth, Telehealth Billing, Telehealth Delivery, Telehealth Experience, Telemedicine, Wearable Integration