Healthcare Policy Changes in 2025 and Beyond: What Providers Need to Know to Stay Ahead
The healthcare policy landscape in 2025 is transforming, affecting reimbursement models, telehealth expansion, and patient access rights. For providers, staying informed and proactive is not options - it's essential for financial stability and regulatory compliance.
Staying Compliant: A Deep Dive into CMS Q4 2025 HCPCS Code Changes
On August 21, 2025, the Centers for Medicare & Medicaid Services (CMS) released its fourth quarter update to the HCPCS Level II code set. This update impacts a wide range of healthcare providers who report services, supplies, drugs, and equipment.
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. (1).webp)
Inside the RUC Time Study: Understanding How Physician Work Is Valued—and Why Compliance Depends on It
For billing professionals, coders, and compliance leaders, this isn’t just a policy issue—it’s a practical one with real consequences in documentation, audits, and reimbursement integrity..webp)
Mastering E/M Coding: How to Safeguard Your Revenue and Stay Audit-Ready
Documentation errors, whether undercoding or overcoding, can make you a target for payers who are becoming more proactive in spotting inconsistencies and recouping payments. A single bad audit can lead to more extensive investigations..webp)