New Jersey's telehealth payment parity requirement — extended twice since the pandemic — reached its scheduled expiration on July 1, 2026. If your practice bills a meaningful volume of telehealth…
New Jersey's Division of Medical Assistance and Health Services (DMAHS) has confirmed its implementation plan for federal OBBBA eligibility changes, and the timeline lands this fall — right in the…
Ask a practice owner where their revenue is going, and most will point to denials. Denials are visible. They show up on a report, they have a code attached, and…
Aetna's July 2026 provider update includes meaningful changes to its National Precertification List (NPL) — the list of services and drugs requiring prior authorization before Aetna will pay. These changes…
Claim denials cost U.S. medical practices more than $262 billion annually. The majority of that revenue is not gone forever — studies consistently show that 65% of denied claims are…
In medical billing, there is one goal above all others: get paid the first time you submit a claim. That only happens when you file what the industry calls a…