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    <title>Remitwright Medical Billing blog</title>
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    <description>Working notes from the Remitwright billing team on denials and appeals, payer rules, NEMT and home care billing, coding and credentialing.</description>
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    <lastBuildDate>Tue, 10 Nov 2026 00:00:00 GMT</lastBuildDate>
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      <title>2027 CPT Code Changes: What Billing Teams Should Update Before January</title>
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      <description>CPT 2027 maternity codes replace the global OB package on January 1, 2027. What billing teams update first: charge masters, superbills and payer rules.</description>
      <category>Coding and documentation</category>
      <pubDate>Tue, 10 Nov 2026 00:00:00 GMT</pubDate>
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      <title>2027 Home Health Final Rule: What Changed From the Proposal</title>
      <link>https://remitwright.com/blog/2027-home-health-final-rule-billing/</link>
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      <description>CMS finalized the CY 2027 home health rule on November 4, 2026. What changed from the July proposal in base rates, LUPA thresholds and enrollment rules.</description>
      <category>Home care and home health</category>
      <pubDate>Tue, 10 Nov 2026 00:00:00 GMT</pubDate>
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      <title>2027 Medicare Physician Fee Schedule Final Rule: What Changes for Billing on January 1</title>
      <link>https://remitwright.com/blog/2027-medicare-physician-fee-schedule-final-rule/</link>
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      <description>The 2027 Medicare physician fee schedule final rule sets a $32.63 conversion factor, turns G2211 into a modifier and adds codes. What to re-check now.</description>
      <category>Payers and deadlines</category>
      <pubDate>Tue, 10 Nov 2026 00:00:00 GMT</pubDate>
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      <title>The 2027 Medicare fee schedule proposal: a 1.68% cut and how a small practice plans for it</title>
      <link>https://remitwright.com/blog/2027-medicare-fee-schedule-proposed-cut-small-practice/</link>
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      <description>The 2027 Medicare physician fee schedule proposed cut lowers the conversion factor as a one-year increase expires. How to model it on your top codes.</description>
      <category>Practice operations</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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      <title>Remote Patient Monitoring Billing in 2027: What the Final Rule Changed</title>
      <link>https://remitwright.com/blog/remote-patient-monitoring-billing-changes-2027/</link>
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      <description>Remote patient monitoring billing in 2027 adds an initiating visit, limits RTM to established patients and delays the staff rule to 2029. What to change.</description>
      <category>Coding and documentation</category>
      <pubDate>Tue, 10 Nov 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>What the CY 2027 home health proposed rule means for your 30-day periods</title>
      <link>https://remitwright.com/blog/home-health-proposed-rule-2027-what-it-means-for-billing/</link>
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      <description>CMS proposed a rise in CY 2027 home health payments after a 2026 cut, with a temporary adjustment still applied. The payment impact per period, worked out.</description>
      <category>Home care and home health</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>NEMT cash flow reconciliation: matching broker payments to bank deposits every week</title>
      <link>https://remitwright.com/blog/nemt-cash-flow-reconciliation-broker-payments-to-bank/</link>
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      <description>Trip reconciliation says what was paid; cash reconciliation says where it landed. The routine that ties broker remits, factoring advances and deposits.</description>
      <category>NEMT billing</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>Medicare additional documentation requests (ADRs): the 45-day clock, who is asking and what to send</title>
      <link>https://remitwright.com/blog/medicare-additional-documentation-requests-45-days/</link>
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      <description>A Medicare additional documentation request response has a deadline set by who asks: MAC, RAC, SMRC, CERT or UPIC. What to send and how to track it.</description>
      <category>Payers and deadlines</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>How to read a billing report: the questions to ask your biller and the two numbers that predict trouble</title>
      <link>https://remitwright.com/blog/how-to-read-a-weekly-billing-report/</link>
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      <description>How to read a billing report as the owner: the questions to ask your biller each week, the two numbers that move before cash does, and a worked example.</description>
      <category>Practice operations</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
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      <title>NEMT trip reconciliation: matching trips to remittances every week</title>
      <link>https://remitwright.com/blog/nemt-trip-reconciliation/</link>
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      <description>NEMT trip reconciliation, step by step: the three records to match, the four outcomes a trip lands in, a weekly routine and the mismatches to prevent.</description>
      <category>NEMT billing</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>What your billing company&apos;s BAA must say, clause by clause</title>
      <link>https://remitwright.com/blog/billing-company-baa-requirements/</link>
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      <description>45 CFR 164.504(e) sets what a business associate contract must contain. The clauses to check in a billing company&apos;s BAA before you hand over claims data.</description>
      <category>Practice operations</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>The October 1 ICD-10 update: a billing workflow for the first 60 days</title>
      <link>https://remitwright.com/blog/icd-10-october-2026-update-billing-workflow/</link>
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      <description>FY 2027 ICD-10-CM codes apply to encounters from October 1, 2026. A billing workflow that keeps retired codes off claims and catches late payer edits.</description>
      <category>Coding and documentation</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>CAQH is now DataSpring: what changes for your Provider Data Portal profile</title>
      <link>https://remitwright.com/blog/caqh-is-now-dataspring-provider-data-portal/</link>
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      <description>CAQH became DataSpring on June 7, 2026 and caqh.org now redirects to dataspring.com. What stays the same in the Provider Data Portal and what to re-check.</description>
      <category>Credentialing and enrollment</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>How to write a claim appeal letter a payer will actually read</title>
      <link>https://remitwright.com/blog/how-to-write-a-claim-appeal-letter/</link>
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      <description>Few denials are appealed, yet MA plans overturned most appealed prior auth denials in 2024. How to write a claim appeal letter and the packet behind it.</description>
      <category>Denials and appeals</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>EVV exceptions and the claims that follow: who fixes what, and when the claim can go</title>
      <link>https://remitwright.com/blog/evv-exceptions-and-the-claims-that-follow/</link>
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      <description>EVV exceptions explained: the common reasons a home care visit fails verification, who fixes each one, and why the claim is held until the record matches.</description>
      <category>Home care and home health</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>How to prepare when your state changes NEMT brokers</title>
      <link>https://remitwright.com/blog/nemt-broker-transition-checklist/</link>
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      <description>Wisconsin named a new NEMT vendor in May 2026 and Montana moved to a broker on October 1, 2026. A checklist for enrollment, open claims and dispatch.</description>
      <category>NEMT billing</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>How to read an ERA: the 835 segments a biller actually looks at</title>
      <link>https://remitwright.com/blog/how-to-read-an-era/</link>
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      <description>How to read an ERA: the 835 header, claim status, adjustments by group code with CARC and RARC, the PLB section and how to balance it to the deposit.</description>
      <category>Payers and deadlines</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>What AI actually does in medical billing today, according to the surveys</title>
      <link>https://remitwright.com/blog/ai-in-medical-billing-what-the-surveys-show/</link>
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      <description>MGMA polls show most medical groups used AI in visits by August 2026, yet many report work shifting, not shrinking. What the survey data means for billing.</description>
      <category>Practice operations</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>The 2026 KX modifier threshold: $2,480, the $3,000 review line and the note that supports both</title>
      <link>https://remitwright.com/blog/kx-modifier-threshold-2026/</link>
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      <description>The 2026 KX modifier threshold for PT and SLP combined, the separate OT threshold and the targeted medical review line. When to add KX and what to chart.</description>
      <category>Coding and documentation</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>CAQH profile maintenance: the attestation cycle, what goes stale, and a quarterly routine</title>
      <link>https://remitwright.com/blog/caqh-profile-maintenance/</link>
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      <description>CAQH profile maintenance: the reattestation cycle, the fields and files that go stale between attestations, and a quarterly routine to keep it current.</description>
      <category>Credentialing and enrollment</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>The Medicare 60-day overpayment rule: when the clock starts and how to refund</title>
      <link>https://remitwright.com/blog/medicare-60-day-overpayment-rule/</link>
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      <description>The Medicare 60-day overpayment rule in 42 CFR 401.305: when the clock starts, how a timely investigation suspends it, and how to report and return money.</description>
      <category>Denials and appeals</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>The late NOA penalty: how one-thirtieth a day adds up, and how to stop the clock</title>
      <link>https://remitwright.com/blog/late-noa-penalty-calculation/</link>
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      <description>Medicare cuts a home health period payment by one-thirtieth for each day from the start of care until a late NOA is submitted. Arithmetic and exceptions.</description>
      <category>Home care and home health</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Marketplace plans in 2026: fewer members, bigger deductibles and a 20% in-network denial rate</title>
      <link>https://remitwright.com/blog/marketplace-plan-denials-and-the-2026-coverage-drop/</link>
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      <description>HealthCare.gov insurers denied about a fifth of in-network claims in 2023, and enrollment fell in 2026. How to work ACA marketplace claim denials.</description>
      <category>Payers and deadlines</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>What a clearinghouse outage does to cash flow, and the contingency plan to write before the next one</title>
      <link>https://remitwright.com/blog/clearinghouse-outage-contingency-plan/</link>
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      <description>A 2024 clearinghouse cyberattack halted claim flow and CMS offered accelerated and advance payments. The outage contingency plan that keeps claims moving.</description>
      <category>Practice operations</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>The 2026 efficiency adjustment: which codes took the 2.5% work RVU cut, and which did not</title>
      <link>https://remitwright.com/blog/medicare-efficiency-adjustment-2026-which-codes/</link>
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      <description>The 2026 Medicare efficiency adjustment cut work RVUs for most procedures but spared time-based codes like E/M and care management. Who gained, who lost.</description>
      <category>Coding and documentation</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>How to appeal a Medicare Part B denial: the five levels and their deadlines</title>
      <link>https://remitwright.com/blog/medicare-part-b-appeal-levels-and-deadlines/</link>
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      <description>Medicare Part B appeal deadlines run from the remittance for a redetermination, then from each decision after it. The five appeal levels and what to send.</description>
      <category>Denials and appeals</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Medicaid work requirements and six-month renewals: what home care agencies should do before January 2027</title>
      <link>https://remitwright.com/blog/medicaid-work-requirements-home-care-agencies/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/medicaid-work-requirements-home-care-agencies/</guid>
      <description>By January 1, 2027 states must apply Medicaid work requirements and more frequent renewals. What it means for home care authorizations and EVV visits.</description>
      <category>Home care and home health</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Medicare Advantage denials: how often appeals win, and why so few are filed</title>
      <link>https://remitwright.com/blog/medicare-advantage-denial-appeal-rates/</link>
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      <description>KFF found most appealed Medicare Advantage denials were overturned in 2024, yet few were appealed at all. What the appeal rate means for your queue.</description>
      <category>Payers and deadlines</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Collecting patient balances after the 2026 deductible jump</title>
      <link>https://remitwright.com/blog/collecting-patient-balances-after-the-2026-deductible-jump/</link>
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      <description>Higher 2026 deductibles, Medicare Part B&apos;s included, put more of each bill on the patient. How to collect patient balances before and after the visit.</description>
      <category>Practice operations</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>NCCI edits changed on October 1, 2026: how to check your top code pairs</title>
      <link>https://remitwright.com/blog/ncci-quarterly-update-october-2026/</link>
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      <description>NCCI PTP edits v323r0 and new MUE values took effect on October 1, 2026. How to run your busiest code pairs against the new files before denials arrive.</description>
      <category>Coding and documentation</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>The denial reasons practices report most in 2026, and the front-end fix for each</title>
      <link>https://remitwright.com/blog/most-common-claim-denial-reasons-2026/</link>
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      <description>Denials are the top revenue leak for nearly half of medical groups, MGMA found in January 2026. The reasons, the benchmark rate and a fix for each.</description>
      <category>Denials and appeals</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>What the 2026 IDR operations rule changes for out-of-network claims</title>
      <link>https://remitwright.com/blog/no-surprises-act-idr-operations-rule-2026/</link>
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      <description>The 2026 No Surprises Act IDR operations rule caps batch size and will move open negotiation into the federal portal. What changes for OON billing.</description>
      <category>Payers and deadlines</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Skin substitute billing in 2026: one payment rate, incident-to rules and WISeR prior authorization</title>
      <link>https://remitwright.com/blog/skin-substitute-billing-2026/</link>
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      <description>Skin substitute billing in 2026: Medicare pays them as incident-to supplies priced per square centimeter, and the WISeR states add prior authorization.</description>
      <category>Coding and documentation</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Timely filing when the payer or broker changes mid-year</title>
      <link>https://remitwright.com/blog/timely-filing-after-a-payer-or-broker-transition/</link>
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      <description>Brokers, MCOs and clearinghouses change; filing limits do not pause. How timely filing after a payer transition works for Medicare, Medicaid and brokers.</description>
      <category>Denials and appeals</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Prior authorization decision deadlines in 2026: 72 hours, seven days and the reason a payer must now give</title>
      <link>https://remitwright.com/blog/prior-authorization-decision-deadlines-2026/</link>
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      <description>From January 1, 2026, Medicare Advantage, Medicaid and CHIP plans must meet federal prior authorization decision timeframes and give a specific reason.</description>
      <category>Payers and deadlines</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Medicaid managed care enrollment, plan by plan: why each MCO is its own application</title>
      <link>https://remitwright.com/blog/medicaid-managed-care-enrollment-by-plan/</link>
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      <description>Medicaid managed care enrollment is one state enrollment plus a contract with each MCO: the order, how states hand off, and the portal trail to keep.</description>
      <category>Credentialing and enrollment</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Eligibility denials are about to climb: six-month Medicaid renewals and work requirements from 2027</title>
      <link>https://remitwright.com/blog/eligibility-denials-and-six-month-medicaid-renewals/</link>
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      <description>Work requirements and six-month Medicaid renewals arrive by January 2027. Why eligibility denials rise, which codes follow and the check that stops them.</description>
      <category>Denials and appeals</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>When a caregiver calls out: the EVV and billing trail of a missed home care visit</title>
      <link>https://remitwright.com/blog/missed-home-care-visit-evv-and-billing-trail/</link>
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      <description>A caregiver who calls out leaves no EVV visit, and no visit means no claim. How a missed visit moves through scheduling, EVV, authorizations and billing.</description>
      <category>Home care and home health</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Modivcare after Chapter 11: what changed for transportation providers and their trip claims</title>
      <link>https://remitwright.com/blog/modivcare-after-chapter-11-what-changed-for-providers/</link>
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      <description>Modivcare filed Chapter 11 in August 2025 and emerged in December 2025 under new owners. What its filings said about provider payments, and what to check.</description>
      <category>NEMT billing</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Medicaid revalidation every five years: the federal rule and the state notices to watch</title>
      <link>https://remitwright.com/blog/medicaid-provider-revalidation-every-five-years/</link>
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      <description>42 CFR 455.414 makes states revalidate every Medicaid provider at least every five years. How notices arrive, what a lapse costs and how to track them.</description>
      <category>Credentialing and enrollment</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
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    <item>
      <title>The weekly credentialing status report: what to track for every pending application</title>
      <link>https://remitwright.com/blog/weekly-credentialing-status-report/</link>
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      <description>Pending applications fail quietly. A weekly credentialing report tracking each payer, submitted date, last follow-up, effective date and claims on hold.</description>
      <category>Credentialing and enrollment</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Billing G2211 with an annual wellness visit or preventive service</title>
      <link>https://remitwright.com/blog/g2211-with-annual-wellness-visit/</link>
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      <description>Medicare pays the G2211 add-on when an office E/M is billed on the same day as an annual wellness visit or preventive service. How to bill and document it.</description>
      <category>Coding and documentation</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Home health enrollment changes in the 2027 proposed rule: ownership changes, revocations and what to keep current</title>
      <link>https://remitwright.com/blog/home-health-agency-enrollment-changes-2027-proposed-rule/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/home-health-agency-enrollment-changes-2027-proposed-rule/</guid>
      <description>The 2027 home health proposed rule adds retroactive revocation and denial grounds tied to ownership changes and license suspensions. What to update now.</description>
      <category>Credentialing and enrollment</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Secondary claims and COB denials: CO-22, MA04 and the order of operations</title>
      <link>https://remitwright.com/blog/secondary-claims-and-cob-denials/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/secondary-claims-and-cob-denials/</guid>
      <description>Secondary claim denials trace to the order of operations: who is primary, what the crossover sent, and whether the claim balances. CO-22 and MA04 decoded.</description>
      <category>Denials and appeals</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Month-end for a home care agency: reconciling Medicaid remits, LTC reimbursements and private pay to the books</title>
      <link>https://remitwright.com/blog/home-care-agency-month-end-reconciliation/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/home-care-agency-month-end-reconciliation/</guid>
      <description>A home care agency&apos;s cash arrives from Medicaid, MCOs, LTC insurers and families. The month-end routine that ties each remittance and invoice to the books.</description>
      <category>Home care and home health</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Can you bill Medicaid for an NEMT no-show? What the rules actually say</title>
      <link>https://remitwright.com/blog/nemt-no-show-and-cancellation-billing-rules/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/nemt-no-show-and-cancellation-billing-rules/</guid>
      <description>New York&apos;s Medicaid transportation manager puts it plainly: Medicaid pays only when the enrollee is transported. How no-shows, cancels and will-calls work.</description>
      <category>NEMT billing</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>How to track payer policy bulletins each month without missing an effective date</title>
      <link>https://remitwright.com/blog/payer-policy-update-tracking-routine/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/payer-policy-update-tracking-routine/</guid>
      <description>UnitedHealthcare re-keyed medical policies on October 1, 2026 and CMS posts NCCI edits every quarter. The monthly routine that catches each payer change.</description>
      <category>Payers and deadlines</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>How to spot underpaid claims: comparing the allowed amount to the fee schedule, line by line</title>
      <link>https://remitwright.com/blog/how-to-spot-underpaid-claims/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/how-to-spot-underpaid-claims/</guid>
      <description>An underpayment hides inside a paid claim. How to compare a line&apos;s allowed amount to the fee schedule or contract rate, and what a variance report shows.</description>
      <category>Practice operations</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Medicare telehealth billing through 2027: place of service, modifiers and what ends in 2028</title>
      <link>https://remitwright.com/blog/medicare-telehealth-billing-through-2027/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/medicare-telehealth-billing-through-2027/</guid>
      <description>Medicare telehealth flexibilities run to December 31, 2027. The POS codes, modifiers and practitioner rules until then, and what changes in 2028.</description>
      <category>Coding and documentation</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Address or practice change? Keeping NPPES, PECOS and the Provider Data Portal in sync</title>
      <link>https://remitwright.com/blog/keeping-nppes-pecos-and-provider-data-portal-in-sync/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/keeping-nppes-pecos-and-provider-data-portal-in-sync/</guid>
      <description>A practice move or new tax ID touches NPPES, PECOS, the Provider Data Portal and every payer file. The update order and the denials when one lags.</description>
      <category>Credentialing and enrollment</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>The 2026 face-to-face encounter change: who can perform it now, and what the claim needs</title>
      <link>https://remitwright.com/blog/home-health-face-to-face-encounter-change-2026/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/home-health-face-to-face-encounter-change-2026/</guid>
      <description>The CY 2026 home health rule changed who may perform the face-to-face encounter behind a certification. What changed, what did not, and the claim trail.</description>
      <category>Home care and home health</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>NEMT trip records that survive an audit</title>
      <link>https://remitwright.com/blog/nemt-trip-documentation-that-survives-an-audit/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/nemt-trip-documentation-that-survives-an-audit/</guid>
      <description>CMS&apos;s NEMT booklet lists loaded mileage, wait times, driver and vehicle criteria and records as audit points. The trip record that answers each one.</description>
      <category>NEMT billing</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Proof of timely filing: what counts, where to find it and how to present it</title>
      <link>https://remitwright.com/blog/proof-of-timely-filing/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/proof-of-timely-filing/</guid>
      <description>What counts as proof of timely filing, where billers find it (acknowledgements, R&amp;S pages, delay reason codes) and how to present the appeal.</description>
      <category>Payers and deadlines</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Ten questions to ask a medical billing company, and the answers you want to hear</title>
      <link>https://remitwright.com/blog/questions-to-ask-a-billing-company/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/questions-to-ask-a-billing-company/</guid>
      <description>Ten questions to ask a medical billing company: data ownership, dedicated billers, denials, reporting, the BAA and the exit, with the answers you want.</description>
      <category>Practice operations</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Modifier 25 vs modifier 59: when each applies, and what NCCI expects you to prove</title>
      <link>https://remitwright.com/blog/modifier-25-and-modifier-59/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/modifier-25-and-modifier-59/</guid>
      <description>Modifier 25 vs modifier 59: one defends a separate visit on the day of a procedure, the other a distinct second procedure. How NCCI edits decide.</description>
      <category>Coding and documentation</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Medicare revalidation: finding your due date and what deactivation costs</title>
      <link>https://remitwright.com/blog/medicare-revalidation-due-dates-and-deactivation/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/medicare-revalidation-due-dates-and-deactivation/</guid>
      <description>Medicare posts revalidation due dates seven months ahead and sends notices three to four months before. How to find yours, and what a missed date costs.</description>
      <category>Credentialing and enrollment</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Review Choice Demonstration: how pre-claim review changes home health billing in six states</title>
      <link>https://remitwright.com/blog/home-health-pre-claim-review-billing-six-states/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/home-health-pre-claim-review-billing-six-states/</guid>
      <description>Six states&apos; home health agencies bill under the Review Choice Demonstration, extended five years from June 2024. How pre-claim review reorders billing.</description>
      <category>Home care and home health</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>UnitedHealthcare&apos;s prior authorization reductions: the dates, who they cover and what to check on the claim</title>
      <link>https://remitwright.com/blog/unitedhealthcare-prior-authorization-reductions-2026/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/unitedhealthcare-prior-authorization-reductions-2026/</guid>
      <description>UnitedHealthcare lists prior authorization reductions from November 1 and December 1, 2026 and Part B step therapy from January 1, 2027. What to verify.</description>
      <category>Payers and deadlines</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Re-credentialing with a new NEMT broker: driver files, vehicle records and the clock</title>
      <link>https://remitwright.com/blog/nemt-broker-credentialing-after-a-broker-change/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/nemt-broker-credentialing-after-a-broker-change/</guid>
      <description>When a state picks a new NEMT broker, providers re-credential: Medicaid enrollment, driver files, vehicle records, insurance. The packet and the timeline.</description>
      <category>Credentialing and enrollment</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>WISeR: prior authorization comes to traditional Medicare in six states</title>
      <link>https://remitwright.com/blog/wiser-prior-authorization-traditional-medicare/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/wiser-prior-authorization-traditional-medicare/</guid>
      <description>The WISeR model runs January 1, 2026 to 2031 in six states, adding prior authorization or pre-payment review to skin substitutes and two more services.</description>
      <category>Payers and deadlines</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>When a payer downcodes your E/M level: Cigna&apos;s R49 and how to respond</title>
      <link>https://remitwright.com/blog/payer-em-downcoding-policies-cigna-r49/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/payer-em-downcoding-policies-cigna-r49/</guid>
      <description>Cigna&apos;s policy R49 reviews 99204-99205, 99214-99215 and 99244-99245 and can pay one level lower. What the policy says, and how to document and dispute.</description>
      <category>Coding and documentation</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>What a 277CA rejection means, and why it never shows up on the ERA</title>
      <link>https://remitwright.com/blog/277ca-rejections-before-the-era/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/277ca-rejections-before-the-era/</guid>
      <description>A 277CA tells you whether the payer&apos;s front end accepted your 837 or rejected it. Rejected claims never reach the 835, and the filing clock keeps running.</description>
      <category>Denials and appeals</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>EVV aggregator changes in 2026: what Illinois&apos;s move to the HHAeXchange portal teaches every agency</title>
      <link>https://remitwright.com/blog/evv-aggregator-transition-lessons-from-illinois/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/evv-aggregator-transition-lessons-from-illinois/</guid>
      <description>Illinois moved in-home providers to the HHAeXchange EVV portal on March 2, 2026, enrollment due January 19. A checklist for any state&apos;s aggregator change.</description>
      <category>Home care and home health</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Ambulatory, wheelchair or stretcher: billing the right NEMT level of service</title>
      <link>https://remitwright.com/blog/nemt-level-of-service-billing/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/nemt-level-of-service-billing/</guid>
      <description>Billing a wheelchair trip for a rider who walked is the upcoding the CMS NEMT booklet warns about. How level of service is set, documented and coded.</description>
      <category>NEMT billing</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Reconciling ERA payments to bank deposits every month, without a spreadsheet war</title>
      <link>https://remitwright.com/blog/reconciling-era-payments-to-bank-deposits/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/reconciling-era-payments-to-bank-deposits/</guid>
      <description>Every 835 balances at service, claim and provider level; the PLB explains why the EFT differs from the claims. How to match remits to the bank monthly.</description>
      <category>Practice operations</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>How to check the Medicare Coverage Database before you bill a service</title>
      <link>https://remitwright.com/blog/medicare-coverage-database-check-before-billing/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/medicare-coverage-database-check-before-billing/</guid>
      <description>The Medicare Coverage Database holds every NCD, LCD and billing article. A lookup by code and state that prevents CO-50 denials before you bill.</description>
      <category>Denials and appeals</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>NEMT loaded mileage billing: what counts, how it is documented and where claims go wrong</title>
      <link>https://remitwright.com/blog/nemt-loaded-mileage-billing/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/nemt-loaded-mileage-billing/</guid>
      <description>Loaded mileage is an audit point in the CMS NEMT booklet. How each state defines it, how to document it and which mileage errors get recouped in audits.</description>
      <category>NEMT billing</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Year-end billing checklist for 2026: what changes on January 1, 2027</title>
      <link>https://remitwright.com/blog/year-end-medical-billing-checklist-2026/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/year-end-medical-billing-checklist-2026/</guid>
      <description>Fee schedules, deductibles, prior authorizations and payer APIs all move on January 1, 2027. The year-end checklist a small practice runs in December.</description>
      <category>Practice operations</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Why NEMT providers should check Medicaid eligibility before every trip from 2027</title>
      <link>https://remitwright.com/blog/nemt-medicaid-eligibility-check-before-every-trip/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/nemt-medicaid-eligibility-check-before-every-trip/</guid>
      <description>Six-month Medicaid renewals and work rules arrive by January 2027. Why a trip authorized last month can be unpayable today, and the check that catches it.</description>
      <category>NEMT billing</category>
      <pubDate>Sun, 18 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>Reading CARC and RARC codes together: why the pair matters</title>
      <link>https://remitwright.com/blog/reading-carc-and-rarc-codes-together/</link>
      <guid isPermaLink="true">https://remitwright.com/blog/reading-carc-and-rarc-codes-together/</guid>
      <description>CARC and RARC codes explained as a pair: why the group code matters, which CARCs need a remark code, the common pairs and how each pair routes the fix.</description>
      <category>Denials and appeals</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
    </item>
    <item>
      <title>What a medical billing company actually does, week by week</title>
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      <description>What a medical billing company does each week: eligibility checks, 837P claims, 835 posting, denials, A/R follow-up and the report you should expect.</description>
      <category>Practice operations</category>
      <pubDate>Wed, 14 Oct 2026 00:00:00 GMT</pubDate>
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