425 articles on medical billing, coding, Medicare rules and practice management, written by the people who build Iridium Suite, since 2010.
Auto-adjudication means a claim with no manual work from charge import to posted payment. What the 837 and 835 transactions automate, where staff still step in, and what a practice saves in days and staff time.
The 2026 radiation treatment delivery codes 77402, 77407 and 77412 replaced the IMRT, IGRT and G-code families on January 1, 2026; image guidance is now 77387-26 only. The code map, the Level 3 line, the first denials.
MIPS radiation oncology 2026 from CMS sources: the 75-point threshold, the 9 percent maximum penalty in 2028, four process measures, topped-out benchmarks for 143 and 144, no radiation oncology MVP, and a checklist.
The 2026 radiation oncology code set deleted the IMRT delivery codes, CT guidance and the G-codes. How the Iridium Suite claim scrubber was updated for it, and what every practice should check.
How the 2026 Medicare physician fee schedule radiation oncology practices bill under reaches a claim: two conversion factors, a 2.5 percent efficiency adjustment, halved facility indirect PE, hospital-priced delivery.
CMS proposed delaying the RO Model start date in April 2022. Why practices should keep preparing, and the Iridium Suite tools for RO Model billing.
The RO Model eligibility rules radiation oncology billers had to apply every day in 2022, and the Iridium Suite tools that check them as treatment courses are entered.
In RO Model Billing Workflow – Part 1 we covered the initial step in your plan – determining if RO Model applies to your patient’s treatment course. You can see that article here .
Billing for the RO Model is complex. The best way to get started on the right foot is to develop a plan.
Radiation Oncology practices have been hearing about the RO Model for a couple of years now. Hopefully you are familiar with the CMS Innovation center.
The start of the RO Model looms like a dragon in the distance, blocking your way to Medicare reimbursement. At Shavara we specialize in radiation oncology billing.
Radiation Oncology Model…It’s still happening. The RO Model might be delayed, but it is still just around the corner. romodel We are ready, are you?
word cloud, from the Iridium Suite Medical Billing Blog.
Remote Teamwork It is necessary now, perhaps more than ever, to apply automation to essential repetitive team tasks. Think of this.
Working remotely and need an answer to a coding question? How Iridium Suite training, coaching and the claim scrubber support billers who work from home.
Teamwork Billing teams working remotely share diverse responsibilities to manage and satisfy the demands to achieve revenue cycle management accomplishment.
When the shoe fits You know. When the fit is right, things go smoothly. It just works. This same metaphor applies to medical billing software.
…Thinking about upgrading your billing system, you know there is a better way, but you hesitate to make the change, afraid of the process, afraid of the interruption… Shavara hears you.
Shavara delivers comprehensive onboarding for Medical Oncology and Radiation Oncology practices.
Shavara delivers comprehensive onboarding for Medical Oncology and Radiation Oncology practices.
Work together to beat the virus, from the Iridium Suite Medical Billing Blog.
There are two loans. The first is called the Paycheck Protection Program (PPP). This loan incentivizes business owners to retain their staff in full.
Shavara: telemedicine-ready, from the Iridium Suite Medical Billing Blog.
The coronavirus will have an impact on all of us, for many, a measurable impact.