Clear thinking for
complex systems.
Practical perspective on the decisions that shape documentation, reimbursement, compliance, AI, and physician-led organizations.
Undercoding Isn't Playing It Safe: The Compliance Problem Hiding in Conservative Coding
Undercoding Isn't Playing It Safe: The Compliance Problem Hiding in Conservative Coding Here is the contrarian truth: choosing a lower code than the documentation supports is no…
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2027 Medical Practice Readiness: The Five Decisions Leaders Must Make Now
2027 Medical Practice Readiness: The Five Decisions Leaders Must Make Now Twenty-one years of physician-led consulting work has taught me one thing about year-end transitions: t…
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Medical Coding Audit: What Reviewers Actually Look For
Medical Coding Audit: What Reviewers Actually Look For Re-coding claims may seem like the natural first step in audit preparation. But passing an automated edit is not the same…
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FY 2027 ICD-10-CM: 190 New Codes and What Actually Changes
FY 2027 ICD-10-CM: 190 New Codes and What Actually Changes Welcome! Let me say this clearly from the start: the number of new ICD-10-CM codes is not the real problem — deploymen…
Read insight →2027 Readiness: What's Final and What's Still Proposed
2027 Readiness: What's Final and What's Still Proposed Welcome! Here is the clearest way I can say this as a physician executive and physician consultant: waiting for every rule…
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The Most Expensive Sentence in Your Practice: "Someone Else Handles That"
The One Sentence Costing Your Practice Six Figures The most expensive sentence in your practice is ‘someone else handles that.’ I do not mean that every physician should persona…
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CPT 2027 Is Coming — Why Your Practice Needs to Start Preparing NOW
CPT 2027 Is Coming , Why Your Practice Needs to Start Preparing NOW After a few weeks away from the blog to speak at the NMA National Conference and take some genuinely needed r…
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AI in Revenue Cycle: Beyond Documentation — Getting Paid for the Work You Already Do
AI in Revenue Cycle: Getting Paid for the Work You Already Do Welcome! If you’ve spent any time in a healthcare administrative office lately, you’ve likely been bombarded with p…
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Modifier 22: Getting Paid for the Work That Goes Beyond Routine
Modifier 22: Getting Paid for the Work That Goes Beyond Routine The Hook — Revenue Left on the Table The surgeon scrubs in for what should be a routine laparoscopic cholecystect…
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Building a Compliance Program From Scratch
Building a Compliance Program From Scratch Launch week: the new Compliance Plan Toolkit is here. Use code LAUNCH50 for 50% off through July 5. Get the compliance plan toolkit →…
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ICD-10 Coding Accuracy — Common Errors Across Specialties
ICD-10 Coding Accuracy : Common Errors Across Specialties Welcome! If you are here, it is because you already know one of the hardest truths in modern medicine: the clinical wor…
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Modifier Usage — When to Use It and When to Leave It Off
Modifier Usage : When to Use It and When to Leave It Off Welcome back! Today, we are diving into one of the most contentious, misunderstood, and audit-vulnerable areas of revenu…
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How to Survive a Payer Audit — Before, During, and After: A Physician’s Guide to Revenue Integrity
How to Survive a Payer Audit : Before, During, and After: A Physician’s Guide to Revenue Integrity It usually happens on a Friday afternoon. You’re clearing your desk, looking f…
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E/M Coding in 2026 — What Changed and Why It Matters
2026 E/M Coding: Revenue Integrity Healthcare Guide Welcome! I’m so glad you’re here. If you’re a physician, a professional coder, or a practice manager, you know that the "grou…
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7 Mistakes You’re Making with AI in Medical Billing (And How to Fix Them Before an Audit)
7 Mistakes You’re Making with AI in Medical Billing (And How to Fix Them Before an Audit) Welcome! If you are reading this, you are likely navigating the most transformative: an…
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