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CMS proposed cutting same day E/M payment by 50 percent in the CY 2027 Physician Fee Schedule. The justification contradicts CMS's own position on practice expense data in the same rule.
S9083 is a single flat fee that replaces the visit’s E/M code entirely. S9088 is an add-on code billed alongside a standard E/M code to reflect the extra overhead of an urgent care setting. Some payers mandate S9083 and will…
When a well child visit turns up a real problem, a rash a parent already tried two creams on, an ear pulled at for two days, wheezing that was not there at the last checkup, that visit is worth two…
CPT 90460 pays for the first component of a vaccine. Add on code 90461 pays for every component after that, and most pediatric practices never bill past the first one.
Most medical billing companies charge 4 to 10 percent of collections. Here is what WeBill Health charges, what is included at each tier, what moves the number up, and what brings it down.
CMS proposed paying 50 percent for the lesser service when an E/M visit and a global procedure occur on the same day. See the mechanic, the specialties exposed, and what to do before September 14, 2026.
What is a Revenue Defense Score? Learn how this composite RCM metric measures your practice's ability to prevent and recover lost revenue. See how WeBill Health benchmarks it.
The 8 minute rule decides how many timed units you can bill. See how practices miscount it and lose revenue, and how to defend every unit before the claim goes out.
A primary care group with locations in Houston, Texas and Miami, Florida made a reasonable assumption about Molina plan variants. They enrolled with Molina once. National payer. Seemed straightforward. Over six months, Molina plan variants cost them $18,000 in Florida…
A family medicine practice in Houston submitted a claim for a patient with UnitedHealthcare. The visit was straightforward. But the claim came back denied due to UHC plan variants. The practice is in-network with UHC HMO. The patient was on…
