Riding the Silver Tsunami: Demographics Drive Home Health Revolution The term 'Silver Tsunami' is often treated as a distant metaphor, but for the healthcare industry, it is a looming economic…
DME Medical Coding and Medical Billing Disclaimer: This DME Medical Coding article discusses generally accepted coding, billing, documentation, and audit standards at a high level. It is not a legal…
Verifiable credentials in healthcare Verifiable credentials in healthcare are emerging as an important digital identity technology for patient access, provider verification, consent management, and electronic health record exchange. For healthcare…
Workers Compensation Pharmacy Billing Why payer-specific transaction rules, NPI routing history, remittance evidence, and claim-level data matter more than broad generalizations in litigation, audits, and reimbursement disputes. Disclaimer: This article…
Medicare Physical Therapy Medical Coding and Billing Physical therapy services, individual vs. group therapy, and proper Medicare coding/billing review NOT an expert report; case-specific application depends on dates of service,…
Health plan strategy | Pharmacy spend | High-cost claims | ERISA fiduciary oversight Medical Cost Strategies for Employers, Health Plans, Providers, and Healthcare Investors Medical cost strategies based on UnitedHealthcare’s…
Form 5500 under ERISA Form 5500 (officially the Annual Return/Report of Employee Benefit Plan) is the primary annual reporting form required under the Employee Retirement Income Security Act of 1974…
Intensive Outpatient Programs (IOP) Federal MHPAEA and ACA Standards, State-by-State Variations, and Medical Billing Implications for Behavioral Health and Substance Use Disorder Treatment Intensive outpatient programs are designed to treat…
Covenant Health Ransomware Breach Analysis: Likely HIPAA Security Rule, Cybersecurity, and AI Observability Lessons from the May 2025 Qilin Attack By Michael F. Arrigo Note: This analysis is based on…
Hospice Medical Billing Expert Insight: Clinical Documentation Standards for Medicare Hospice Care in California Bullet Point Summary – Hospice Medical Billing Expert Key Takeaways Patient encounter → Physician + Medical…
Michael F. Arrigo Managing Partner, No World Borders, Inc. LinkedIn: linkedin.com/in/marrigo Rising Healthcare Costs Driving Up Auto Insurance Premiums Don't Stipulate to Medical Bills in Bodily Injury Litigation While inflation…
Lab CPT Codes 2026 Update: Common Tests, Descriptions & Introduction Dates Last updated: March 2026. CPT® codes are copyrighted by the American Medical Association (AMA). This Lab CPT Codes 2026…