2027 Maternity Coding Changes: OB/GYN Readiness Guide
Updated August 10, 2026. Effective January 1, 2027, the Current Procedural Terminology (CPT) maternity care section will move away from the traditional global obstetric CPT package toward phase-specific reporting. OB/GYN practices should prepare their billing systems, payer workflows, and documentation now—especially for pregnancies beginning in 2026 and continuing into 2027. Prepared by the AMS Solutions […]
Medical Billing for Pulmonology Practices: A Complete Guide
Learn how pulmonology practices can reduce claim denials, code PFTs and bronchoscopies correctly, and increase reimbursement with proven billing strategies.
Good Faith Estimate & No Surprises Act for Practices (2026)
Good Faith Estimates required for uninsured/self-pay patients in 2026. AEOB enforcement remains deferred for insured. Here is what is required, what is deferred, and the workflow.
Gastroenterology Medical Billing: Coding and Reimbursement
Schedule a free consultation to master gastroenterology medical billing. Learn GI CPT coding, E/M bundling, and prior authorization to maximize reimbursement.
A Denial Management Workflow That Actually Recovers Revenue
A five-step denial management workflow: triage by category, root-cause tracking, deadline-driven appeals, letter elements, and prevention.
CMS Prior Authorization Rules 2026 (CMS-0057-F): What Practices Must Know
The 2026 CMS prior-auth rule (CMS-0057-F) sets 7-day standard and 72-hour urgent decision limits and requires specific denial reasons. See what it means for your practice’s denials — and how to turn the new rules into faster cash.
The 5 Billing KPIs Every Practice Should Review Monthly
Clean claim rate, net collection rate, days in A/R, denial rate, and A/R over 90 days: what each KPI means and which direction is healthy.
AI in Medical Billing: What to Automate in 2026 (and What Still Needs Humans)
A balanced look at AI in medical billing: what to automate (eligibility, scrubbing, denial patterns) and where experienced billers still win.
12 Questions to Ask Before Hiring a Medical Billing Company
A practical 12-question checklist for evaluating medical billing companies: denial workflow, reporting, HIPAA, contracts, fees, and exit terms.
Prior Authorization Automation 2026: What Actually Works Now
CMS-0057-F is live. Here is what prior authorization automation actually delivers in 2026, what is still manual, and how independent practices should structure a PA workflow this quarter.
What Does Medical Billing Outsourcing Cost in 2026? Fee Models Compared
Compare percentage-of-collections, flat-fee, and hybrid billing fee models, what drives rates, and the hidden costs of cheap vendors.
Days in A/R: How to Calculate It and What Your Number Means
How to calculate days in A/R, read aging buckets (0-30 to 90+), commonly cited benchmarks, specialty variation, and the red flags that demand action.