Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Ambient AI Scribes in 2026: What Coders and Billers Need to Check in the Note
The AMA's 2026 survey found 81 percent of physicians now use AI at work, and documentation leads the list. Scribe notes are longer, cleaner and sometimes wrong in ways that affect E/M levels. Here is what we check when a practice turns on a scribe, the five documentation failures we see most, and the 60-day audit.
EDI Transactions Explained: 837, 999, 277CA, 835 and 270/271 for Practices
Billing staff talk about 837s and 835s as if everyone knows what they are. We explain each of the HIPAA EDI transactions a practice touches, what it carries, where it can fail, which report to look at, and how the files fit together in the life of one claim from eligibility check to posted payment.
Your Practice Website Should Do Three Jobs: Intake, Payments and Fewer Calls
Most practice websites are a brochure: a photo of the building, a list of doctors, a phone number. The ones that pay for themselves do three operational jobs. Here is what each job requires, the HIPAA and accessibility rules that apply, and how to measure whether the site helps the front desk or just decorates.
How to Choose a Clearinghouse for a Medical Practice: The Questions to Ask
A clearinghouse touches every claim and remittance, and most practices picked theirs because the practice management vendor suggested it. Here is how to choose a clearinghouse for a medical practice: what it should do, the questions that separate vendors, and how to switch without losing a month of cash.
Claim Scrubber Rules Worth Adding, Who Owns Them and the Monthly Review
Most practices run their claim scrubber on the vendor's default edits and wonder why the same denials keep coming back. Here are the custom claim scrubber rules worth adding, how to build one from a denial, who should own the rule set and the monthly review that keeps it from rotting.
HIMSS26 in Las Vegas: What Independent Practices Should Actually Watch
The HIMSS Global Health Conference runs March 9 to 12, 2026 at the Venetian in Las Vegas, with more than 600 sessions on AI, cybersecurity and interoperability. Most of it is aimed at health systems. Here is what will reach a ten-provider practice within a year, and how to vet the vendors who come back from it.
Prior Authorization Software: What the 2027 API Deadlines Do and Do Not Fix
Every vendor pitch this year mentions the January 1, 2027 deadline for payer prior authorization APIs. The deadline is real and useful, but it covers only some payers and depends on your EHR. Here is what the APIs will do, what they will not, and the questions to ask before signing.
When the EHR and Billing System Disagree: Fixing Charge Interface Errors
When the EHR and the billing system are separate products, every charge crosses an interface, and interfaces drop things quietly. We explain how a charge travels from the signed note to the claim, the charge interface errors we see most, and the daily three-way count that finds a missing encounter within a day.
How to Set Up a New Payer in the Practice Management System Before Go-Live
A signed contract is not a payer that pays. We walk through the payer record and its three different IDs, EDI, ERA and EFT enrollment, loading the contracted fee schedule with a worked example, and the watched first claim that proves every link works before the rest go out.
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The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.