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HCFS employees highly respected industry known Subject Matter Experts are sought after to speak regularly for not only our clients, but a myriad of industry organizations. Our team is dedicated to not only FWA detection and prevention, but to education. We provide complimentary scheme oriented articles used by both clients and non-clients providing actionable takeaways and insights that have led to millions of dollars of savings and recoveries. Sign up for our newsletter!
Goodbye G2025: What October 2026 Telehealth Billing Changes Mean for Payers
For years, HCPCS code G2025 has served as a one-size-fits-all code for non-behavioral health, distant-site telehealth services furnished by Rural Health Clinics (RHCs) and Federally Qualified Health...
Delivering Change: What 2027 Maternity CPT Changes Mean for Payers
A major maternity coding change is due January 1, 2027—and it is much more than a routine annual update. The American Medical Association (AMA) is deleting the traditional global obstetric CPT...
Telehealth Coding Fragmentation: What SIU Teams Should Watch
Telehealth billing remains complex as payer requirements continue to vary across procedure codes, modifiers, and places of service. Medicare, Medicaid, and commercial plans may apply different...
The “Paper Patient” Problem: Risk Adjustment Concerns
Risk adjustment involves billing diagnosis information that is properly supported in the medical record. It estimates the expected annual cost of care and aligns payments to the complexity of a...
The Big Squeeze: Closing the Gap on Lymphedema Treatment Billing
With the Lymphedema Treatment Act from 2024 now in effect, payer coverage for lymphedema treatment has expanded. While this is a positive development for patients, it also increases the risk of...
Healing the Bottom Line: Active Wound Care vs. Routine Nursing Services
When it comes to healing, sometimes our skin needs a little more than a kiss it and make it better approach. Complex, non-healing, or chronic wounds require clinical interventions to jump start the...