What changed this week in revenue cycle, why it matters, and which CPT codes, payers, or LCDs your team should action by Friday.
Get the Tuesday briefRCM Today is a working-biller publication. Each piece answers a single question: what changed, who it affects, and what to do this week. We track CMS rule-making, payer medical-policy bulletins, and recurring denial trends across UnitedHealthcare, Aetna, Cigna, Anthem, Humana, and the BCBS plans. No invented stats; if we don't know the number, we say so.
What we write about; what we won't.
When UnitedHealthcare changes a coverage policy or Cigna updates modifier rules, we publish what changed and the CPTs affected.
PFS proposed and final rules, OPPS, NCCI quarterly edits, and LCD revisions — explained for billers, not lobbyists.
When CO-97 or CO-45 spikes industry-wide, we trace it back to the rule or edit driving it.
Vendor product releases, conference recaps, and op-eds. There are enough of those.
Look up a CARC code in plain English. We use this internally when triaging reader-submitted denial trends.
Working billers and former RCM operators. Bylines are real people; we do not republish vendor press releases as news.
Final rules within 48 hours of Federal Register publication, with the section numbers that matter to outpatient practices flagged at the top.
Yes. If your team is seeing a new denial trend, send the CARC + RARC pair, the payer, and a date range. We aggregate; submissions are confidential.
Working billers need to know what changed and what to do. Opinions live in our occasional Friday column, clearly labeled.
Yes. The brief is free. A paid tier with denial-trend dashboards is in development.
One email a week. What changed, what to action, who it affects.
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