CMS July 2025 OPPS Update: Key Changes Providers Need to Know
From status indicator (SI) adjustments to new vaccine codes and skin substitute product classifications, the changes highlight CMS’s ongoing efforts to align payment policy with clinical and regulatory developments.
Smart Billing: A Strategic Upgrade for Sustainable Practice Growth
In an era where the financial sustainability of private practices and clinics is under constant threat, the need for smarter, leaner billing processes has never been more urgent. Shrinking margins, evolving payer rules, and increasing patient cost-sharing are pushing traditional billing methods past their breaking point.
Mastering the Art of Clean Claims: Your Blueprint for Revenue Cycle Success
In today's healthcare environment, denials are climbing at an alarming rate. According to recent studies, providers saw a 60% increase in claim denials in 2024 compared to the previous year. For RCM leaders, this underscores the urgent need to improve first-pass clean claim rates — one of the most important indicators of a healthy revenue cycle.
Head and Neck Angiography Coding in Interventional Radiology: Key Tips for 2025
With 2025 well underway, now is the perfect time to sharpen your knowledge of cervicocerebral angiography coding. This article takes a deep dive into CPT® codes 36221–36224 and the common pitfalls associated with them—ensuring you stay ahead of denials and deliver clean claims every time.
Revenue Integrity in the Value-Based Era: Safeguarding the Financial Health of Healthcare Organizations
As healthcare continues to evolve from a volume-driven system to one centered around value, patient outcomes, and cost-efficiency, the concept of revenue integrity has taken on a new level of urgency. No longer just a back-office concern, revenue integrity now sits at the intersection of clinical care, compliance, and financial performance. (1).webp)