2026 HCPCS Level II Changes: What the October Update Means for Providers and Billing Teams

CMS has released its October 2026 HCPCS Level II update, introducing new, deleted, and revised codes across wound care, infusion, orthotics, drugs, and other services. Here’s what providers and billing teams should know—and why timely implementation matters for accurate coding and clean claims.

FY 2027 IPPS Final Rule: What Hospitals Need to Know Before October 1

The FY 2027 IPPS Final Rule brings changes across payment rates, MS-DRGs, ICD-10-CM/PCS codes, MCC and CC classifications, new technology payments, and quality reporting. But what do these updates mean for hospital revenue cycle operations? Here’s a closer look at the changes that could affect coding, documentation, reimbursement, and readiness for October 1.

Home Health Billing: Understanding Consolidated Billing and the 2026 Code Changes

CMS is expanding Home Health Consolidated Billing to include 19 additional HCPCS codes beginning October 1, 2026. Here’s what home health agencies, suppliers, and billing teams need to know about the changes—and why understanding billing responsibility is just as important as getting the code right.

Uncollected Claims in Urology: What Your Unpaid Revenue Is Telling You

Uncollected claims are more than an AR problem. They can reveal where a urology practice’s revenue cycle is breaking down—from recurring denials and underpayments to authorization gaps and aging accounts. This article explores what unpaid revenue can tell you about the processes behind it—and why the goal shouldn’t simply be to work AR harder, but to prevent more revenue from becoming uncollectible in the first place.

Vaccine Revenue Leakage in Pediatric Practices: Finding the Gaps Between Administration, Inventory and Payment

A vaccine can be administered correctly, documented correctly, and still create a revenue-cycle problem. When inventory, eligibility, coding, NDC data, and payer requirements don't stay connected, leakage can hide in places traditional A/R reporting never sees. Here's a closer look at the overlooked gaps in pediatric vaccine billing—and what practices can do to make them visible.

Medicare Compliance: Why the Right Modifier Starts Before the Claim

Medicare compliance doesn’t begin when a claim reaches the billing queue. From identifying potential coverage issues and managing ABNs to selecting the right modifiers and preserving supporting documentation, every step in the workflow can influence what happens next. This article explores how GA, GX, GY, and GZ fit into the larger Medicare compliance picture—and why stronger processes upstream can help practices prevent avoidable billing and compliance issues downstream.