VOSKPO News & Insights
Practical guidance on medical billing, denial management, healthcare analytics, compliance, and the technology that runs a healthier revenue cycle.
Latest articles
A $541.5 million Medicare Advantage settlement turned a documentation question into a revenue-cycle warning: can every diagnosis be traced to the encounter and the rendering provider who approved the record?
A federal Medicaid rule takes effect in 2027, but its first revenue-cycle test will happen at check-in. Practices need a controlled way to verify coverage, route exceptions, and follow changes before they become denials or patient balances.
Insights
Prior authorization, NCCI bundling edits and payer AI are converging on claims at once in 2026. Here is the three-force breakdown, and the prevention plan that stops all three before they become denials.
CMS-0057-F was supposed to simplify prior authorization. Instead it made data-field precision mandatory, and independent practices are absorbing a 31% denial spike. Here is the PA-first workflow that stops it.
Payers now use AI to scan clinical notes before a claim ever reaches a human. Reactive denial management cannot keep up, so here is what fighting AI with AI actually looks like.
56% of denials trace back to patient eligibility, not coding. Here is why continuous verification, not better coding, is the fastest lever on your clean claim rate in 2026.
Median days in A/R have stretched past 52 days industry-wide. Here is why prevention, not faster follow-up, is the only way to get practices back under 30.
66% of practices now outsource all or part of their revenue cycle. Here is how to avoid becoming a ticket number, and the five questions that separate a partner from a vendor.
288 new CPT codes took effect January 1, 2026. Here is what changed in the CMS fee schedule, why most practices fall behind, and how to capture the new revenue without inviting an audit.
Earlier articles
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