Insights
Notes on reimbursement, audits, coding, and the rules that move a healthcare revenue cycle.
May 29, 2026
The Departments of Health and Human Services, Labor, Treasury, and the Office of Personnel Management have released a new Federal Independent Dispute Resolution (“IDR”) Operations Final Rule that…
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March 9, 2026
A federal jury recently convicted former NFL player Joel Rufus French of orchestrating a massive health care fraud scheme that siphoned nearly $197 million from Medicare and the Civilian Health…
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March 8, 2026
Wire transfers are part of modern medical practice operations. Practices routinely send wires for real estate, equipment purchases, revenue cycle vendors, IT services, and practice acquisitions.…
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March 7, 2026
Michigan lawmakers are moving to overhaul health care provider credentialing timelines—and insurers, hospitals, and clinicians should be paying close attention. House Bill 5512 proposes clear…
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March 6, 2026
The Pennsylvania Office of Attorney General has won a significant victory in the fight against healthcare fraud, announcing that a former office manager tied to a Montgomery County home care…
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March 4, 2026
Remote Patient Monitoring (RPM) is becoming one of the most valuable tools in modern health care. As more patients manage chronic and acute conditions from home, RPM gives providers the ability to…
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March 1, 2026
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January 21, 2026
What a new federal lawsuit says about the growing strain on No Surprises Act arbitration—and why it matters for payors, providers, and policymakers. In early January 2026, Anthem Blue Cross…
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January 21, 2026
Verification gaps cause more denials than coding errors. Here are 3 ways to close them in 30 days: If your insurance verification process is just: “Has your insurance changed?” …it’s not…
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