Tips, best practices, and industry news to help Tucson healthcare providers optimize their revenue cycle.
The 2026 fee schedule introduced two separate conversion factors, increased reimbursement for office-based E/M services, made telehealth permanent, and launched a new prior authorization model in Arizona. Here is what changed and what it means for your revenue.
Read More →When a patient has two insurance plans, COB errors are a leading cause of claim denials. Learn how to determine primary vs. secondary payer, what to include on a secondary claim, and how to resolve CO-22 denials quickly.
Read More →More than half of Arizona's Medicare patients are now in Advantage plans, yet many practices still treat MA billing the same as traditional Medicare. The timely filing windows, prior auth requirements, and payment rates are all different. Here is what you need to know.
Read More →A timely filing denial is one of the few billing errors that cannot be corrected after the fact. Learn the filing deadlines for Medicare, AHCCCS, and major commercial payers, and how to build a system that keeps revenue from slipping through the cracks.
Read More →A lapsed CAQH profile can stall credentialing with multiple payers at the same time. Learn how CAQH re-attestation works, what the 2026 platform updates mean for Arizona providers, and how to stay compliant on a simple recurring schedule.
Read More →The No Surprises Act limits what you can bill patients in certain out-of-network situations and requires Good Faith Estimates for self-pay patients. Here is what the law requires of small practices in Arizona, and how to stay compliant.
Read More →Prior authorization is one of the biggest time drains for small practices in 2026. Learn how the PA process works, what changed with the new CMS rules, and how to reduce delays and denials with better submission habits.
AHCCCS covers over 2 million Arizonans, including a large share of Tucson-area patients. This step-by-step guide walks you through the enrollment process, fees, timelines, and the critical difference between AHCCCS enrollment and MCO credentialing.
Payer audits are not just a large-system problem. Learn what auditors look for, which billing mistakes trigger reviews, and how to build a simple internal compliance process that protects your practice and your revenue.
Most providers are told "90 to 150 days" and left to figure out the rest. Here's a realistic breakdown by payer — Medicare, AHCCCS, Blue Cross, and commercial insurers — plus the most common causes of delays and how to avoid them.
Read More →Claim denial rates hit 15 to 17 percent in 2026. Here are the eight most common denial reasons — from prior auth failures to coding errors — with actionable fixes for each one your practice can implement right now.
Read More →You don't need enterprise software to manage your revenue cycle well. You need to track five numbers: days in AR, first-pass resolution rate, denial rate, net collection rate, and clean claim rate. Here's what each one means and what to do when they're off.
Read More →Insurance denials are a frustrating reality for many healthcare providers. However, understanding why claims are denied and how to prevent them can significantly improve your reimbursement rates and keep your revenue cycle healthy.
Read More →Credentialing is a vital process for any healthcare provider. Without proper credentialing, providers cannot bill insurance companies, leading to lost revenue and compliance risks that can seriously impact your practice.
Read More →Errors in medical billing can lead to denied claims, delayed payments, and significant lost revenue. Here are five of the most common billing mistakes and the practical steps you can take to avoid them.
Read More →Managing a medical practice is no small feat. Between patient care, administrative tasks, and keeping up with regulatory changes, handling medical billing in-house can become overwhelming. Outsourcing can be a game-changer.
Read More →Our team is here to help. Contact us today for a free consultation.