Brachytherapy Coding in 2026: How to Bill HDR and LDR Courses Without Losing the Bundle Fight
October 5, 2026 · Team ALH How radiation oncology billers, coders, and clinic managers build a clean brachytherapy claim, from applicator insertion to the last fraction, under current CMS, NCCI, ASTRO, and Noridian JF rules. Brachytherapy claims rarely fail because a coder picked a code from the wrong chapter. They fail because the claim bills […]
Radiation Oncology Billing in 2026: Leveled Delivery Codes, IGRT Bundling, and What CMS and ASTRO Changed
September 28, 2026 · Team ALH. How independent radiation oncology practices rebuild delivery coding, IGRT claims, and Noridian JF documentation after the CY 2026 Medicare reset. Independent radiation oncology practices did not get a soft landing in calendar year (CY) 2026. The Centers for Medicare & Medicaid Services (CMS) deleted the freestanding Healthcare Common Procedure […]
Behavioral Health Remote Care Billing: Telehealth POS, Audio-Only Rules, and Outsourced Staffing Controls
How independent behavioral health practices protect cash when telehealth claim construction and outsourced-staff controls match CMS rules. Independent behavioral health practices grow when patients can start and stay in care from home, and when remote clinicians and outsourced billers keep the schedule full. Growth turns into bad debt when place of service (POS) is wrong, […]
Medical Oncology Buy-and-Bill Specialty Billing: ASP Limits, JW/JZ Waste Claims, and Sustainable Growth
Specialty billing for independent medical oncology practices is where sustainability is won or lost for community infusion suites. Growth speeches do not keep the lights on when Average Sales Price (ASP) payment limits move every quarter, acquisition cost sits above the remittance, units do not match the Healthcare Common Procedure Coding System (HCPCS) descriptor, or […]
Clean Claims Submissions for Specialty Billing: What Independent Oncology, Urology, and Behavioral Health Practices Get Wrong
Most specialty revenue leaks do not start with a dramatic payer audit. They start with a claim that never should have left the billing office. Missing modifiers on single-dose oncology drugs. IMRT planning codes billed again after the plan was already paid. A diagnostic cystoscopy stacked onto a therapeutic procedure that already includes looking into […]
CPT 77412 Eight Months In: How Level 3 Gets Downcoded, and Why September 14 Still Matters
Radiation delivery coding stopped being about IMRT vs 3D on January 1, 2026. The fight now is whether your chart proves Level 3, and whether you tell CMS what 2027 payment should look like before comments close. Introduction On January 1, 2026, Medicare stopped paying freestanding and hospital outpatient radiation delivery the old way. Technique-specific […]
How to Bill APCM Behavioral Health Add-On Codes G0568, G0569, and G0570
If your practice already bills Advanced Primary Care Management, the January 1, 2026 behavioral health add-ons are the cleanest way to get paid for Collaborative Care Model or general BHI work in the same calendar month. The rule is simple on paper and easy to break in the claim scrubber: report an APCM base code […]
CPT 55700 Is Gone. Here’s How to Code Prostate Biopsy Now.
If your chargemaster still has 55700 sitting there like nothing changed, stop. For dates of service on or after January 1, 2026, that code is deleted. Prostate biopsy coding got rebuilt. One old “any approach” code became a family that asks three basic questions: Transrectal or transperineal? What imaging guidance was used? Was this a […]
September 2026 specialty billing briefing: comment by the 14th, and stop 77412 from being downcoded
CMS issued the CY 2027 Medicare Physician Fee Schedule proposed rule (CMS-1848-P) on July 14, 2026. Comments are due September 14, 2026. Nothing in this section is in effect yet. Do not change 2026 claim edits to match it. What the proposal actually says: Conversion factors. The one-year +2.50% CY 2026 bump expires. CMS proposes […]
Best Practice Management Software for Mental Health Providers: Why Jane App Is My Top Recommendation
I regularly evaluate practice management platforms to help mental health providers operate more efficiently while maintaining the highest standards of compliance and client care. After careful consideration of multiple options, my preferred recommendation is Jane App. This thoughtfully designed system stands out for its combination of powerful functionality, genuine ease of use, and strong security […]