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Showing posts with the label Hospitalist billing in Texas

What Is the CY2026 Efficiency Adjustment and How Does It Impact Internal Medicine Billing?

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The CY2026 Efficiency Adjustment is one of the important changes introduced under the 2026 Medicare Physician Fee Schedule. Effective January 1, 2026, CMS finalized a 2.5% reduction to the work RVUs of most non-time-based services . However, the adjustment does not apply broadly to every service billed by an internal medicine practice. Time-based services, including many evaluation and management (E/M) and care management services, are excluded. For internal medicine practices, understanding which services are affected is important because the adjustment can change reimbursement for certain procedures and ancillary services even when claims continue to process normally. For a detailed overview, practices can review What Is the CY2026 Efficiency Adjustment and How Does It Impact Internal Medicine Billing? . What Is the CY2026 Efficiency Adjustment? CMS finalized the efficiency adjustment as part of the CY2026 Physician Fee Schedule. The policy applies a -2.5% adjustment to the work comp...
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Why Texas Hospitalist Practices Face Rising AR Aging Problems – 12 Hidden Revenue Risks Hurting Cash Flow in 2026

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  Introduction: Why AR Aging Is Becoming a Major Hospitalist Concern Why Texas hospitalist practices face rising AR aging problems has become a growing concern in 2026 as providers experience increasing reimbursement delays, claim denials, and payer scrutiny. Hospitalist practices manage high-acuity patient care, complex inpatient documentation, ICU billing, and frequent care transitions, making revenue cycle management more difficult than ever. Texas has a highly competitive and complicated payer environment that includes Medicare, Medicaid managed care organizations, and multiple commercial insurers. Each payer applies different billing rules, documentation standards, and medical necessity requirements. Even small coding or documentation mistakes can delay reimbursement for months. Without specialized hospitalist billing services and advanced medical billing services , many practices struggle with growing accounts receivable balances, declining collections, and unstable cash...
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Location: Texas, USA
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