Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Text-to-Pay and Online Patient Payments: What to Check Before You Sign a Vendor
Patient balances are a growing share of practice revenue and paper statements are the slowest way to collect them. Here is what we check before a practice signs a text-to-pay vendor: consent rules, HIPAA and card data scope, posting integration, fees, reconciliation and the four numbers that show whether it worked.
RPM and RTM Under the CY 2027 Proposal: Initiating Visits and Employed Staff
The CY 2027 physician fee schedule proposal would limit RTM to established patients, require an initiating visit, pay only when clinical staff are the practice's own employees, and asks whether to collapse 17 codes into four G-codes. For practices using a turnkey vendor, that is a business model question.
Texting Patients Appointment Reminders: TCPA and HIPAA Rules for Practices
Text reminders cut no-shows, and they also sit under two federal laws. We explain the rules for texting patients appointment reminders: the healthcare exemption and its limits, what consent to record, the opt-out rules in force and the one delayed to 2027, and what a reminder may say.
RPA in Medical Billing: Tasks That Work, Tasks That Break and a 60-Day Pilot
Robotic process automation promises to take portal clicking off your billers' plates. Some of it delivers. We sort billing office tasks into the ones a bot handles well, the ones that break every quarter, the compliance questions nobody asks the vendor, and a 60-day pilot that tells you whether to keep going.
Choosing a Card Processor for Patient Payments: Interchange, Surcharging, Fees
Patient payments are the fastest-growing revenue line in most practices, and the card processor takes a cut of every one. We explain how card fees are built, the pricing models and the fee lines to compare, what the card brand and state rules allow on surcharging, and how to read a processor statement.
CY 2027 Telehealth Proposals, Modifiers BB and BC, New MVPs and PE Stabilizer
Beyond the conversion factor cut, the CY 2027 Physician Fee Schedule proposed rule released July 14, 2026 carries telehealth, quality program and practice expense changes that will reach every practice. We read the sections most coverage skipped and explain what changes on claims and in MIPS reporting.
Cyber Insurance for Medical Practices: What the Application Asks and What Pays
The cyber insurance application has become a security audit, and the answers you give are the ones the carrier will hold you to after a ransomware event. We explain what the application asks, what a claim actually pays and does not, and the controls that lower premiums and keep the policy from being rescinded.
ERA and EFT Enrollment: Why Paper Remits and Virtual Cards Cost You Money
Electronic remittance advice and electronic funds transfer are standard HIPAA transactions every health plan must offer, yet many practices still post paper EOBs and accept virtual cards with fees attached. How enrollment works payer by payer, what the 835 does for posting, and what the fees cost.
HIPAA Multifactor Authentication and Password Managers: A 30-Day Practice Plan
The front desk shares one EHR login, the payer portal password is on a sticky note and nobody has MFA on email. We explain what HIPAA multifactor authentication rules require today and what is proposed, why shared logins fail the Security Rule, and how to roll out a password manager and MFA in four weeks.
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