HMS Medical Billing Blogs

A patient walks in, receives care, and leaves. Three weeks later your billing team is staring at a denial. The coverage wa...

If you have ever stared at an Explanation of Benefits and wondered why the number the insurance company paid looks nothing...

Medicare is not standing still. In January 2026, CMS launched one of the most operationally disruptive prior authorization...

Here is a scenario that plays out in hundreds of practices every week: a patient gets treated, the insurer processes the c...

In long-term care, few roles carry the documentation weight of a Certified Nursing Assistant. The concept ofpoint of care ...

Behind every no-show isn’t just an empty chair, it's a missed opportunity for a diabetic patient to adjust their...

For Medicare-participating clinics, 2025 brings more than regulatory pressure—it brings a chance to turn reporting i...

Home health agencies in the U.S. face a significant challenge with denied claims, especially under Medicare. A denied clai...

Independent Physician Associations (IPAs) offer a compelling alternative to healthcare consolidation. Often misunderstood,...

Have you ever had a patient ask, “Can I just pay you directly?” Or wondered about the rules when someone with ...

Accuracy in medical billing is more than a best practice — it is a regulatory requirement enforced by federal progra...

The National Correct Coding Initiative (NCCI) represents one of Medicare's most sophisticated claim review mechanisms,...

The CLIA of 1988 established a federal framework regulating laboratory testing on human specimens for health purposes. For...

The Qualified Medicare Beneficiary (QMB) program is a critical financial support mechanism designed to assist low-income i...

Most healthcare providers recognize that delivering quality care is essential to driving practice success. Yet many overlo...