Learn how CMS’s mandatory Transforming Episode Accountability Model (TEAM) impacts hospitals, bundled payments, telehealth rules, and new HCPCS G-codes starting in 2026.

Modifiers 25 and 57 remain some of the most frequently misapplied modifiers in medical coding. Understanding when an Evaluation and Management service is truly separate from a procedure—and how to document it correctly—is essential for compliant billing and audit readiness.

Proprietary Laboratory Analyses (PLA) codes represent advanced diagnostic tests that pose unique coding and reimbursement challenges. With frequent updates, limited payer coverage, and strict documentation requirements, understanding how PLA codes function is essential for compliant billing, accurate reimbursement, and patient financial protection.

Medicare’s 2026 Physician Fee Schedule introduces a major change: two separate conversion factors for qualifying APM participants and non-qualifying providers. This update impacts reimbursement calculations, APM incentive payments, and revenue planning, making it essential for providers to understand what’s changing and how to prepare.

Medicare’s WISeR pilot adds prior authorization requirements in six states starting in 2026. Learn how these changes impact providers, patients, and documentation.

The OIG’s new audit toolkit targets unsupported or inaccurate HCC coding. Learn how to strengthen documentation using MEAT criteria, align diagnoses with treatment, and prevent audit findings that can impact compliance and reimbursement.