Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Writing a Patient Financial Policy: The Nine Clauses and the Words to Use
A patient financial policy is the document your front desk points to when a patient objects to paying. Most are either two vague paragraphs or four pages nobody reads. Here are the nine clauses a policy needs, sample wording for each, the legal lines not to cross, and how to roll it out without a fight.
The CMS ACCESS Model Starts July 5, 2026: Should Your Practice Look at It?
The Innovation Center's ACCESS model begins its ten-year run on July 5, paying participating organizations outcome-aligned payments for chronic condition tracks instead of fee-for-service. Here is how the payment works, the fee-for-service exclusion most summaries skip, and the questions to answer first.
How to Run a Weekly Billing Meeting: Six Numbers, Who Attends, What It Decides
Most practices find out about a billing problem when the bank balance drops. A weekly billing meeting finds it four to six weeks earlier. We give the 30-minute agenda built on six numbers, who is in the room, the report each number comes from, a worked example and the three decisions every meeting should end with.
Patient Collections in a High-Deductible Year: What Works in 2026
By May most patients with high-deductible plans still have not met their deductible, which means the practice is the bank. Here is the collections approach we see working: estimates before the visit, cards on file with clear terms, a 30-day statement cycle, a worked example, and a hard stop on stale balances.
Medicaid Work Requirements Arrive January 2027: Eligibility Outreach Starts Now
The 2025 reconciliation law requires expansion states to apply an 80-hour monthly work requirement to most adults aged 19 to 64 by January 1, 2027, with a federal rule due June 1, 2026 and six-month renewals to follow. Here is what states are doing this spring and how a practice protects its Medicaid revenue.
Patient Registration Errors That Cause Claim Denials: Ten Fields to Get Right
Most denials are born at check-in, not in the billing office. We list the ten registration fields that generate the most denials, show what each error looks like on the remit, and describe the front-desk checks that catch them before the patient reaches the exam room.
How to Build a Medical Practice Revenue Budget From Your Own Billing Data
Most practice budgets start from last year's deposits plus a percentage, which misses every fee schedule change and payer mix shift in your own data. Here is how to build a medical practice revenue budget from visits, payer mix, contracted rates and collection rates, with a worked example.
Deductible Season Collections: A Front Desk Plan for the First Quarter of 2026
Deductibles reset on January 1, the Part B deductible is $283 this year, and many marketplace patients moved to bronze plans with higher out-of-pocket costs. Here is how we set up time-of-service collections, estimates and payment plans for the first quarter.
How to Reduce No-Shows in a Medical Practice Without Losing Patients
A 12 percent no-show rate in a four-provider practice is roughly $250,000 of visits a year that never happen. Here is how to measure the rate honestly, the reminder cadence that works, what to do about repeat offenders, when a fee helps and when it drives patients away, and how to fill the gaps that remain.
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The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.