The $700,000 HIPAA Lesson Hidden Inside One Phishing Attack
A phishing attack compromised one employee’s email account. That’s how this story starts. But the $700,000 figure at the end…
Category: Business View
Your Claims Aren’t Being Denied. They’re Being Taken Back.
Why lower denial rates may be hiding a new revenue-cycle problem for medical practices Here’s a number that should stop…
Why Anthem Is Penalizing In-Network Hospitals for Out-of-Network Doctors
By Elena Pak, Credentialing Department, WCH Elevance Health, the parent company of Anthem Blue Cross Blue Shield, is facing another…
Are You Leaving Money on the Table? 5 Revenue Opportunities Physicians May Be Missing in 2026
Your practice may already be doing work that payers reimburse — without fully capturing the revenue. Not because of dishonesty.…
The Payer Changed the Rules. Did Your Practice Change With Them?
A payer bulletin is not useful until someone translates it into a change in what your staff actually does. That’s…
Your 2026 Medicare Revenue May Depend More on Where You Practice Than What You Bill
Same CPT code. Same clinical service. Same patient outcome. Different building — and, in a growing number of cases, a…
Denial Alerts Doctors Should Not Ignore: 5 Signs a Claim Is About to Become Lost Revenue
By the time a denial letter actually lands on someone’s desk, it’s not a warning anymore. It’s an outcome —…
Medicare’s GLP-1 Bridge Is Live: What Providers and Billing Teams Need to Know
The Medicare GLP-1 Bridge is now live—and it does not work like ordinary Part D coverage. For physicians who prescribe…
When an Algorithm Denies Your Claim: Who Is Accountable?
A rehabilitation hospital submits a routine continued-stay request for a 78-year-old post-stroke patient. Two hours later, a denial arrives. No…
