AR Cleanup for Optometry Practices: Resolving the Medical vs. Vision Plan Denial Trap

AR Cleanup for Optometry Practices almost always starts in the same place: a stack of claims that were billed to the wrong plan on day one. An optometry visit isn’t automatically a “vision” claim or a “medical” claim. It’s whichever one the diagnosis and documentation say it is, and when front-desk staff or an EHR […]

Top 10 EHR Systems for Primary Care Practices in 2026

Which EHR Systems Lead Primary Care Billing in 2026? Athenahealth, Elation Health, and Oracle Health lead the ten EHR systems primary care practices should evaluate in 2026, ranked by how directly their billing and coding architecture affects clean claim rate, not by charting features alone. Most comparison guides rank EHRs by usability and AI scribing. […]

Your Dermatology AR Over 90 Days Is Not Dead — It Is Misclassified

Dermatology AR aging past 90 days is not a collection failure — it is a classification failure, and the difference costs multi-provider dermatology groups an average of $180,000 to $340,000 per 12 months in revenue that gets written off as uncollectable before a single recovery attempt is made against the correct denial root cause. The […]

Old AR Recovery in Orthopedics: Clearing the Backlog Created by Bundling and Modifier Denials

Old AR Recovery in Orthopedics is the process of auditing, appealing, and collecting orthopedic claims that have aged past 60, 90, or 120 days because of NCCI bundling edits, missing modifiers, or global period errors, before they cross the payer’s timely filing deadline and become permanently uncollectible. For a busy orthopedic group, this backlog isn’t […]

Why Are OBGYN Global Package Denials Increasing in 2026?

OB-GYN global package denials are increasing in 2026 because Medicare Advantage plans are applying algorithmic claim review to maternity codes at rates 37% higher than 2022 — and the documentation standard that cleared payer review last year is no longer sufficient to protect antepartum, delivery, and postpartum revenue in the same billing cycle. The financial […]

How Can Practices Reduce Days in AR Through Root-Cause Denial Analysis?

Practices reduce Days in AR through root-cause denial analysis by tracing every denial back to the specific trigger that caused it, such as an eligibility gap, a coding mismatch, or a missing prior authorization, and correcting that trigger before the next claim goes out. This is fundamentally different from simply reworking a denied claim and […]

Best Neurology Billing Companies 2026: Compared & Reviewed

Best Neurology Billing Companies in 2026 Selecting the right medical billing partner is essential for maximizing reimbursements, reducing claim denials, and improving the financial performance of neurology practices. Based on industry reputation, service offerings, technology, and revenue cycle management capabilities, the following companies are among the leading neurology billing providers in 2026: Medical Billers and […]

Why Are AI-Assisted Appeals Becoming Essential for Revenue Cycle Management?

AI-assisted appeals are becoming essential for Revenue Cycle Management because they cut the time it takes to challenge a claim denial from weeks to hours, while pulling the exact payer policy and medical necessity language that gets denials overturned. As Medicare Advantage plans lean harder on automated tools to deny claims, practices need equally fast […]

MA Plans Applied Prior Auth to Internal Medicine Services at Rates 37% Higher Than 2022

Yes — Medicare Advantage plans applied prior authorization requirements to internal medicine services at rates 37% higher than 2022, driven by expanded PA requirement lists, AI-assisted claim adjudication, and tighter chronic care and diagnostic service scrutiny that has fundamentally altered revenue predictability for high-volume primary care practices. For internal medicine groups operating on thin per-encounter […]

Why Are Orthopedic Billing Denials Getting Worse in the Second Half of 2026?

Orthopedic billing denials are rising in the second half of 2026 mainly because of three converging forces: the CY 2026 Medicare Physician Fee Schedule’s efficiency adjustment and practice expense cuts, sharper OIG scrutiny of modifier 25 use, and expanding prior-authorization requirements for implant-heavy and device-based procedures. Practices that haven’t updated their coding and documentation workflows […]

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