What Did OBGYN Underpayments Cost California Practices in the First Half of 2026?

OBGYN underpayments cost California practices between 2 and 5 percent of collected revenue in the first half of 2026. That figure applies to groups collecting $1 million or more per month. Medi-Cal managed care variance and AB 72 out-of-network gaps drive more of that total than in most other states. That range sits above the […]

How Cardiology RCM in Washington Can Improve A/R Performance

how-cardiology-rcm-washington-improve-ar-performance

Cardiology RCM in Washington can help practices improve A/R performance through specialty-specific coding, claim review, denial management, old A/R recovery, payer-level analysis, and ongoing performance monitoring. Cardiology practices in Washington manage a complex revenue cycle involving procedure-specific coding, documentation, prior authorizations, claim submission, payer requirements, and accounts receivable follow-up. When these processes are not properly […]

Is Legacy AR Reducing Cash Flow for Texas Internal Medicine Groups?

Yes, legacy AR is actively reducing cash flow for Texas internal medicine groups, and Texas’s 95-day claims-filing deadline, one of the strictest in the country, is a primary reason why aged balances convert into permanent revenue loss faster here than in most other states. What Legacy AR Actually Does to Cash Flow Legacy AR is […]

In-House vs. Outsourced GI Billing: What Works Best in Virginia?

in-house-vs-outsourced-gi-billing-virginia

Outsourced GI Billing can outperform in-house billing for many Virginia gastroenterology practices once claim volume and billing complexity increase. The difference often comes down to specialization. In-house teams may have to manage scheduling, prior authorizations, patient calls, coding, and claims simultaneously, making it easier to overlook GI-specific billing details such as screening-to-diagnostic colonoscopy conversions, procedure […]

Is Legacy AR Hiding Recoverable Revenue in California OBGYN Practices?

Yes — California OBGYN practices routinely carry six-figure recoverable OBGYN revenue in claims aged past 120 days, and the cause is rarely simple non-payment. It’s usually Medi-Cal managed care plan fragmentation, Knox-Keene timely-payment disputes that were never appealed correctly, or credentialing delays specific to California’s dual CAQH-DHCS enrollment process. Why California OBGYN Billing Behaves Differently […]

How Neurology RCM Analytics Reveal Illinois Practice Gaps

neurology-rcm-analytics-services-in-illinois

Neurology RCM Analytics reveal practice performance gaps by breaking group-level billing data down to the individual provider and location, exposing denial patterns, documentation bottlenecks, and AR delays that a single consolidated dashboard would otherwise hide. For CFOs managing multi-site Illinois neurology groups, this is not a reporting nicety — it is the difference between knowing […]

Why Illinois Primary Care Groups Are Strengthening Denial Management in 2026

Illinois Primary Care Groups are strengthening denial management in 2026 because NGS Medicare, Illinois HFS Medicaid managed care plans, and commercial payers have each tightened claim-edit logic this year, and groups that still work denials reactively are losing revenue faster than they can recover it. What Is Primary Care Denial Management Primary Care Denial Management […]

Cardiology CPT Coding in Florida for Preventing Underpayments and Coding Errors

Cardiology CPT Coding in Florida prevents underpayments and coding errors by aligning claims with First Coast Service Options’ Local Coverage Determinations, applying Modifier 25 and 59 correctly on same-day procedures, and verifying Medicare Advantage prior authorization before submission. Florida’s payer landscape is complex enough that generic coding practices routinely leave money on the table. Florida […]

How Florida Family Practices Recover Old AR Before Year-End

Florida family practices recover old AR before year-end by segmenting the 120-plus-day bucket by payer type first — Medicare Advantage, Statewide Medicaid Managed Care, and commercial — then working the claims with the tightest closing-appeal windows before December 31st, when the recovery option is permanently cut off. Why the Q2 Aging Problem Becomes a Year-End […]

Gastroenterology RCM in Texas for Reducing Revenue Loss from Coding Errors

Gastroenterology RCM in Texas reduces revenue loss from coding errors by applying correct modifiers on screening-versus-diagnostic colonoscopies, aligning claims with Novitas Solutions Jurisdiction H’s local coverage rules, and catching mismatched procedure codes before submission instead of after a denial. Texas GI practices that build this level of specificity into their RCM process see measurably fewer […]

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