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 in an unusual position in the American healthcare…
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 Americans have never heard of. The target: a…
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 in residential neighborhoods, billing the government hundreds of…
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 of rate cuts, CMS authorized a 3.85% increase…
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 approved or denied them. And almost no one…
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 did to skin substitute reimbursement on January 1,…
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 and most powerful hospital system in New York…
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 is accelerating. A recent research summary published by…
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. On April 1, 2026, one of the most…
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) issued a landmark order: Cigna was fined $80,000…
The End of the Fax Machine: Inside CMS’s Claims Attachment Rule
A landmark federal rule finally forces American healthcare to abandon its paper-and-fax past — but the real story is what it tells us about the cost of administrative…
When Payers Bleed: What Moody’s 2026 Negative Outlook Means for Providers
Insurers are cutting benefits, shrinking networks, and exiting markets. Here’s how to protect your revenue and patient volume. When Moody’s Ratings assigns a “negative” outlook to an entire…
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