2027 Medicare Payment Cut: What Practices Must Do Before January
How Much Will Medicare Pay Cut in 2027? As of August 2026, the CMS CY 2027 Physician Fee Schedule proposed rule (CMS-1848-P) would reduce the
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Discover practical guidance and useful insights on managing medical billing efficiently with our collection of tips and advice.
Senate Keeps CMS WISeR AI Prior Authorization Pilot in Place: What Practices in 6 States Need to Know
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
OIG Completed a Medicare Billing Audit in July 2026: What Your Practice Needs to Check Now
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
CO-97 Denial Code: What It Means, Why It Happens, and How to Fix It in 2026
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
Modifier 25 Payment Reduction for 2027: What CMS Proposed and What It Costs Your Practice
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
CPT Code 99214: Billing Guidelines, Reimbursement and Documentation for 2026
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
What Is Payment Posting in Medical Billing? The Complete 2026 Guide
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
POS 23 in Medical Billing: What It Means and When to Use It Correctly
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
CO-45 Denial Code: What It Means, Why It Happens, and How to Handle It Correctly
What Does the CO-45 Denial Code Mean? The CO-45 denial code means your billed charge exceeded the payer’s fee schedule, maximum allowable, or contracted rate,
AOB Meaning in Medical Billing: The Hidden Requirements Payers Never Tell Providers
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