Denial$ to Dollars® Writing a Winning Appeal® (Virtual Event)
We have brought this sought-after workshop online, which has been in high demand. To keep the [...]
WISeR Model Launches January 1, 2026: What Medicare Providers Need to Know
Implementation of the Wasteful and Inappropriate Service Reduction (WISeR) Model, which tests using enhanced technologies including [...]
Billing Update: G2211 Now Payable With Home & Residence E/M Visits in CY 2026
CMS is continuing its effort to better pay for the complexity of longitudinal care by [...]
Urgent Care Operator Settles FCA Allegations for $3 Million
Bloom Care LLC, which operated urgent care clinics across Idaho and New Mexico during the [...]
Aug
New Cigna Policy Could Downgrade Your Claims — Without Warning
Starting October 1, 2025, Cigna Healthcare® will implement a sweeping new reimbursement policy that could [...]
Aug
6th Circuit Rules Against Hospitals in Key Case on Emergency Care Reimbursement: What AMISUB v. Cigna Means for Out-of-Network Claims
In a significant ruling for the healthcare and insurance industries, the U.S. Court of Appeals [...]
Aug
Forefront Dermatology and Henghold Surgery Center to Pay $847K in False Claims Settlement Over Medicare Billing
In a significant development in the ongoing battle against healthcare fraud, Forefront Dermatology S.C. and [...]
Aug
Dental Providers Agree to Pay $540,000 to Resolve False Claims Allegations Involving Uncredentialed Services
In a significant healthcare enforcement development, Premier Dental Holdings, Inc., doing business as Sonrava Health, [...]
Aug
Turn Insurance Denials into Revenue: Master the Art of Medical Appeal Writing at Denials to Dollars® 2025
Discover how to overturn insurance denials with winning appeal strategies at the Denials to Dollars® [...]
Jul
7 Must-Have Elements in a Winning Physician Medical Claim Appeal Letter
Learn how to write a strong physician medical claim appeal letter that improves reimbursement success. [...]
Jul