Practice Revenue
Every article we've published on Practice Revenue.
Payer Underpayments: The Silent Revenue Leak Hiding in Your Paid Claims
Around 2.5–3% of billed line items are underpaid, quietly costing providers 1–3% of net revenue a year. Because the claim shows as "paid," almost no one catches it. Here is how to detect and recover what you are owed.
Remote Patient Monitoring Billing in 2026: New CPT Codes Open the Floodgates
CMS added shorter-duration RPM codes for 2026, ending the rigid 16-day and 20-minute thresholds that blocked billing. Here are the new codes, how they pair with the classics, and what your practice can now capture.
Chronic Care Management Billing in 2026: Codes, Rules & Recurring Revenue
CCM is one of the few ways to bill Medicare for the between-visit work you already do — reliably, every month. Here are the 2026 CPT codes and rates, the eligibility rules, and how to launch a compliant program.
Transitional Care Management Billing: How to Capture 99495 and 99496
TCM is one of Medicare’s best-paying care-coordination services — and one of the most commonly botched. Miss the 2-business-day call and the whole claim is gone. Here is how to bill 99495 and 99496 correctly.
Advanced Primary Care Management (APCM): Billing G0556, G0557 and G0558
APCM is Medicare’s newest care-management benefit — no monthly time tracking, just a per-patient monthly payment tiered by complexity. Here are the 2026 rates, the 13 service elements, and how it stacks with RPM.
Billing for NPs and PAs: The 85% Rule and How to Maximize Reimbursement
When a nurse practitioner or PA bills under their own NPI, Medicare pays 85% of the physician rate. Here is when that 15% haircut applies, when incident-to or split/shared can recover it, and how to stay compliant.
Collaborative Care & Behavioral Health Integration Billing: CPT 99492–99494 and G2214
Integrating behavioral health into primary care is good medicine — and billable, recurring revenue. Here are the 2026 CoCM and BHI codes, the roles you need, and the 2026 change that retired G0512.
