Billing for Medicaid: The Complete 2026 Provider Guide
The CMS FY2025 PERM report just landed. The Medicaid improper payment rate jumped to 6.12%, representing $37.39 billion in improper payments. That’s up from $31.10 billion in 2024. Real money. Gone. And most of it wasn’t fraud. Billing for Medicaid is the process by which healthcare providers submit claims to state Medicaid programs for reimbursement of covered […]
HCPCS vs CPT Codes: The Complete 2026 Provider Billing Guide
Coding errors cost the U.S. healthcare system roughly $36 billion every year. Around 12% of the 5 billion claims processed annually contain inaccuracies. The single most common error category is picking the wrong code system: CPT when it should have been HCPCS, or HCPCS when it should have been CPT. CPT codes are 5-digit numeric […]