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01/19/2026
A $50 billion windfall in federal funds supporting “rural transformation” has just been handed out by CMS. If you have something to offer rural health providers in the way of care or networks, you don’t have to be a certified rural health clinic (RHC) or federally qualified health center (FQHC), or even rural, to get in on it.
01/19/2026
Make sure you add the latest list of designated health services (DHS) to your practice’s compliance plan. The new list went into effect Jan. 1.
01/19/2026
Question: Would a possible threat to a limb meet the requirement for a critical care service?
01/19/2026
Whether practices performed an organ- or disease-oriented lab panel with a simplified or more complex laboratory test, the comprehensive metabolic panel (80053) dominated lab panels performed in place of service 11 (Office) for the years 2020 to 2024.
01/15/2026
Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.
01/12/2026
The annual wellness visit (AWV) is a chance for providers to reconnect with their patients and refresh their care plans. But a coding expert reminds you that AWVs also offer opportunities to perform other reimbursable services based on what comes up in the examination — yet many practices leave that money on the table.
01/12/2026
Get ready for digital data and remote monitoring updates in 2026. Beginning Jan. 1, the AMA will add a number of changes to CPT codes for two related sections of the CPT manual: Digitally Stored Data Services/Remote Physiologic Monitoring; and Remote Physiologic Monitoring Treatment Management Services.
01/12/2026
You know that your provider’s conversion factor will be based on their participation in an advanced alternative payment model (APM). Effective Jan. 1, 2026, qualifying participants (QP) will receive a higher conversion factor than non-QPs. But you’re not alone if you don’t know how to confirm a provider’s advanced alternative payment model particpation status.
01/12/2026
In the Jan. 6 issue, Part B News released a cache of predictions that our reporters and industry sources believe will impact the industry this year. Here's a series of bonus predictions that serve as key points to keep an eye on this calendar year.
01/12/2026
Question: Why is it important to respond to additional documentation requests (ADR) in a timely manner?

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