Getting Radiologists Paid: The Hidden Revenue Leaks in Radiology Billing — and How to Close Them
Why radiology practices lose more revenue than they realize — and what it actually takes to recover it Radiology sits…
The Algorithm in the Waiting Room: How AI Is Taking Over Medicare’s Prior Authorization — and Why a Landmark Lawsuit Wants Answers
On March 25, 2026, the Electronic Frontier Foundation filed a lawsuit against the federal government over a healthcare program most…
The $120 Million Fraud Factory in Plain Sight: How Social Adult Daycares Are Exploiting Seniors and Draining Medicaid
America’s Medicare and Medicaid programs face a persistent and costly threat — not from abroad, but from fraudsters operating openly…
Better Than Last Year, But Still Not Enough: The 2026 Medicare Physician Fee Schedule and What It Means for Mental Health and Independent Practices
For the first time in six years, Medicare physician payment is going up rather than down. Following five consecutive years…
The Black Box Opens: Prior Authorization Denial Rates Go Public — and the Numbers Are Damning
For decades, the prior authorization process operated as one of American healthcare’s most consequential black boxes. Physicians submitted requests. Insurers…
The $19 Billion Reset: How CMS Just Blew Up Skin Substitute Reimbursement — and What It Means for Every Wound Care Provider
There are policy changes that tweak the margins, and there are policy changes that restructure an entire industry. What CMS…
When the Biggest Hospital in the Room Sets the Rules: The DOJ vs. NewYork-Presbyterian
In late March 2026, the U.S. Department of Justice filed a civil antitrust lawsuit against NewYork-Presbyterian Hospital — the largest…
Beyond Willpower: What the Latest Science Means for Your Addiction Treatment Practice
By Oksana Pokoyeva, Billing Department, WCH The conversation around addiction treatment is shifting — and the pace of that shift…
National Government Services Is Becoming Wellpoint Federal — What Providers Need to Know Before April 1
A name change at one of Medicare’s largest contractors. Here is what actually changes, what doesn’t, and what to watch.…
Maryland Fines Cigna $80K and Orders It to Stop Automatic Downcoding — What Every Provider Needs to Know
A regulatory precedent that could reshape how insurers challenge your claims On March 13, 2026, the Maryland Insurance Administration (MIA)…