What Is the CMS WISeR Prior Authorization Pilot? The WISeR (Wasteful and Inappropriate Service Reduction) model is a CMS pilot program that introduces AI-assisted prior
What Is the OIG Medicare Billing Overpayment Audit? As of July 2026, the HHS Office of Inspector General completed its audit of Medicare Part B
What Is the CO-97 Denial Code? The CO-97 denial code is a Claim Adjustment Reason Code (CARC) that means the billed service is not separately
What is the proposed modifier 25 payment reduction for 2027? As of July 2026, the CMS CY 2027 Physician Fee Schedule proposed rule (CMS-1848-P) includes
What Is CPT Code 99214? CPT code 99214 is an evaluation and management code used to report an established patient office or outpatient visit that
Quick Answers Payment posting in medical billing is the step where payments and adjustments from insurers and patients are recorded against the correct claims and
What Is POS 23 in Medical Billing? POS 23 in medical billing is the place-of-service code that identifies a hospital emergency department on a professional
When medical billing teams see a CO-45 denial code, they usually expect a quick correction. But behind the scenes, this adjustment often creates hours of
Most practices feel confident that they understand the basics of medical billing—until a payer audit or recoupment notice proves otherwise. One of the most common
Why Choosing the Right Billing Partner Feels Like a Gamble Finding the right medical billing and consulting service shouldn’t feel like rolling the dice—but for
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