Healthcare Management Solutions, LLC

07/20/2025

The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) proposed rule. CMS released the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) proposed rule on July 14.

07/14/2025

Medicare Fraud Alert: The Centers for Medicare and Medicaid Services (CMS) has identified a scheme where fraudsters pose as audit or debt collectors and ask providers to email or fax patient medical records and/or payment information.

DO NOT respond to these requests. For more information from CMS, please see their official alert: https://www.cms.gov/fraud

07/10/2025

🌟 Is Your Medical Billing Process Holding You Back? 🌟

At Healthcare Management Solutions, we know that efficient and accurate billing can make all the difference to your practice’s success. Whether you're an independent practitioner or part of a larger group, we help you streamline your revenue cycle with a focus on:

✅ Full-Service Medical Billing
✅ Accounts Receivable Recovery
✅ Denial Management
✅ Consulting for Process Improvement

We understand that navigating the complexities of insurance, claim submissions, and payer requirements can be overwhelming. That's why we offer tailored solutions to suit your unique needs — and we’re here to answer the tough questions:

🔹 How do I handle multiple insurances?
🔹 What do I do when claims get denied?
🔹 Can I be sure my billing is compliant with industry standards?

We’ve got the answers! 🌱 Let us take the burden off your shoulders and improve your bottom line. With our support, you can focus more on patient care and less on paperwork.

🚀 Ready to take your practice to the next level? Let's chat about how we can help.

06/24/2025

Big news for providers, billers, and patients alike: Prior authorization reform is finally getting national attention. 🛑➡️✅

The U.S. Department of Health & Human Services, CMS, and leaders across the healthcare industry are pledging to fix the broken prior authorization process — aiming for faster decisions, better transparency, and reduced administrative burden.

As a medical billing partner, we see firsthand how much time, money, and stress prior authorizations cause. This move is a step in the right direction — but implementation and accountability will be key.

Let’s keep the pressure on for real change.

🔗 Read the full story:
https://www.hhs.gov/press-room/kennedy-oz-cms-secure-healthcare-industry-pledge-to-fix-prior-authorization-system.html

Health insurers pledged six key reforms aimed at cutting red tape, accelerating care decisions, and enhancing transparency for patients and providers.

06/20/2025

The first day of summer is here — and while you may be dreaming of sunshine, sandals, and lake days… your billing backlog probably has other plans. 🧾🌞

Let us help you shift into summer mode with fewer denials, faster payments, and more freedom from your desk.

We’ll handle the claims.
You go catch some rays.

06/18/2025

Insurance denied it... again.

Same code. Same payer. Same story.

The system isn’t broken — it’s just outdated. Let us decode the madness for you.

06/16/2025

Does it ever feel like paperwork is your full-time job and patient care is the side gig?

You’re not alone. Most providers spend more time on admin than care — but it doesn’t have to be that way.

👉 Let us help you reclaim your time.

06/15/2025

Happy Father’s Day to the dads who do it all — in the clinic, at home, and everywhere in between.

Whether you’re charting late at night, running your own practice, or making it home just in time for bedtime stories, your dedication doesn’t go unnoticed.

From all of us at Healthcare Management Solutions — thank you for being an everyday hero in healthcare and in life. 💙

Here’s to strong leaders, gentle hearts, and full calendars (both patient and family).

05/30/2025

📆 May was packed with insights!

From AI trends to claim denial tips, we’ve shared a lot—but we’d love to hear from you:
What billing questions do you want us to cover in June?

Drop a comment or DM us—we’ll build our content around what YOU need.

05/28/2025

🧐 Can you spot the error in this claim?

Service Date: 05/06/25
CPT Code: 97140 (Manual therapy, 15 min)
Diagnosis: M54.2 (Cervicalgia)
Modifier: 59
Billed With: 98940 (Chiropractic adjustment, 1-2 regions)
Provider: Chiropractor

What’s wrong here?
A) 97140 shouldn’t be billed with 98940
B) Modifier 59 is misused
C) Diagnosis code doesn't support 97140
D) Nothing—it looks clean!

Drop your answer below! We'll reveal the correct answer and explanation in our next post. 🧾✅

05/26/2025

Today, we honor and remember those who made the ultimate sacrifice for our country.
Wishing everyone a meaningful and reflective Memorial Day.

05/23/2025

❓ What’s the one part of your billing process you’ve always wondered, “Is there a better way to do this?”

➡️ Submitting claims manually?
➡️ Following up on unpaid balances?
➡️ Reconciling EOBs and ERAs?
➡️ Communicating financial policies with patients?

Drop your question or pain point in the comments—we’ll share expert tips and best practices in an upcoming post. 👇