425 articles on medical billing, coding, Medicare rules and practice management, written by the people who build Iridium Suite, since 2010.
Radiation oncology billing updates 2026 in one checklist: FY 2027 ICD-10-CM codes, sequestration and CO-253, No Surprises Act duties, telehealth dates, the MIPS window, the January reload and the Part B deductible.
The radiation oncology billing calendar for 2026 to 2027: rule dates, effective dates, comment deadlines, MIPS windows, the prior authorization API deadline and the quarterly code updates, in one table.
The ROCR Act radiation oncology groups back (H.R. 2120, S. 1031) would replace per-fraction Medicare payment with two episode payments. What the bill says on episodes, the $500 HEART add-on, MIPS and coinsurance.
The radiation oncology telehealth 2026 rules: flexibilities through December 31, 2027, 77427 on the telehealth list, 77431, 77432 and 77435 in person only, permanent virtual supervision, POS 02 and 10, modifier 95.
Hospital based radiation oncology billing in 2026: the lines a physician's professional-only claim carries for a 20-fraction IMRT course in POS 22 or 19, what the hospital bills instead, and what must never appear.
Record and verify charge capture in Aria and Mosaiq often still sends 2025 codes. Where the charge codes are stored, why the old codes do not map one to one onto the 2026 levels, and a one-week review checklist.
Radiation oncology claim denials by CARC and RARC: duplicate, bundled, missing information, timely filing, medical necessity, authorization, MUE, modifier and POS, non-covered, eligibility and the 2026 code transition.
Hypofractionation billing in 2026: the codes a 5, 15, 16 or 20-fraction course triggers, how 77427 units count on short courses, and the UnitedHealthcare and eviCore fraction caps you can verify.
The radiation oncology rule tracker: what CMS proposed and what it finalized for 2026, and the 2027 proposals awaiting final rules, for the conversion factor, delivery codes, APCs, MIPS and more.
Radiation therapy prior authorization requirements in 2026 by payer: UnitedHealthcare, Cigna and eviCore, Aetna and Humana rules, the Medicare Advantage deadlines, and what a complete request contains.
CMS projected about a 1 percent change, yet two-thirds of surveyed practices report 2026 radiation oncology payment cuts of 10 percent or more. Where the gap came from and a playbook for recovering it.
Pluvicto billing step by step: 79101, A9607 at one unit per millicurie (200 units per 7.4 GBq dose), the PSMA PET prerequisite, the July 2026 label expansion, contractor pricing, the 340B TB modifier and MUE denials.
The 2026 OPPS radiation oncology APCs: 77402 in 5621 ($104.24), 77407 in 5622 ($394.05), 77412 in 5623 ($564.51), why freestanding rates follow them, site-neutral, superficial codes and brachytherapy.
Adaptive radiotherapy billing in 2026 has no code of its own. What you can bill when anatomy changes enough to need a new data set and plan, what the CCI edits block, where eviCore stands, and what a re-plan must show.
Charge capture in medical billing can fail with no warning: a visit with no charge, a 77427 never counted, a drug unit short. Three routine checks, with an oncology example, that find missing charges.
Radiation oncology billing KPIs: the six revenue cycle numbers with formulas, plus the metrics only a radiation center needs, from fractions billed versus delivered to Level 3 share and last fraction to final claim.
The top claim denials in 2026 are the same seven as in 2013: duplicate, bundled, missing information, timely filing, medical necessity, eligibility and authorization. The codes, the fix and the prevention for each.
Accounts receivable follow-up falls behind when no one person owns it. One owner, a few measured numbers, and a weekly routine for denials, appeals, payer portals and timely filing limits.
Radiation oncology payer contracts 2026: a 20-fraction IMRT course priced at 2025 and 2026 national Medicare rates shows how a percentage-of-Medicare contract repriced automatically, plus a repricing letter outline.
77412 active motion management needs motion data that controls the beam. What ASTRO's model policy counts as AMM, and the five things the note should show.
The 2027 physician fee schedule radiation oncology proposal raises 77402, 77407 and 77412 after Level 3 use landed near 18 percent, not 35, while planning codes fall and the conversion factor drops.
AI contouring billing in 2026: FDA-cleared auto-segmentation has no CPT code and no separate payment. What the CPT Panel, the RUC and CMS would have to do first, and how the work sits inside today's planning codes.
Radiation therapy prior authorization 2026: Medicare Advantage plans owe a decision in 7 days and a reason for each denial, WISeR runs in six states without radiation therapy, and payer lists now use 77402, 77407, 77412.
A step by step prior authorization process for a medical practice in 2026: what to gather, where to submit, the 72-hour and 7-day Medicare Advantage deadlines, and how to hand the approval off so the claim pays.