Revenue Rx

Ā The prescription for maximizing reimbursement, streamlining operations, and avoiding costly mistakes in healthcare billing.

When Every Payer Writes Their Own Rules: The Regulatory Interpretation Crisis in Behavioral Health

I want to ask a question that I think every behavioral health provider, compliance officer, and billing director in this coun...

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The Hidden Cost of Being Out of Network

Providers have the right to choose whether they participate in insurance networks. That decision is not reckless, unethical, ...

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Cigna's E/M Code Adjustment Policy: A Misguided Solution to a Real Problem

The insurance giant's new approach to combating E/M upcoding creates more problems than it solves

Effective October 1, 2025,...

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