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UHC Policy Updates for 2026 

The following coding policies have been revised.  Policy Title: Professional/Technical Component Policy, Professional  Effective Date: April 1, 2026   Summary of Changes: Effective for...

The First Click Is the New Waiting Room 

Waiting doesn’t start in your lobby anymore. It starts with the first click: when a patient tries to decide whether to book online or...

5 Smart Ways to Build a Stronger Urgent Care Reputation in 2026 

Healthcare employees have it tougher than ever. Patients arrive informed, opinionated, and increasingly influenced by what they find online before...

BCBS Downcoding Explanation 

Similar to Cigna claims, several individual BCBS licensees (e.g., Illinois, Texas, Massachusetts) have acknowledged that they will change (recoded/downcode) a claim to a lower‐payment code in certain...

Dec Industry Note: Tennessee Medicare/Medicaid Cross Over Claims 

Effective 9/1/25, The Division of TennCare will no longer process paper crossover claims. Any paper claims received will be returned...

Why Urgent Care Powered by AI Might be the Future of Primary Care 

Urgent care is having a moment. The sector is growing rapidly, and the reasons go beyond convenience. A recent Forbes feature highlights...

Navigating the Radiologist’s Report: A Guide for Urgent Care Providers 

For most urgent care encounters, imaging is a key moment of truth: the point where uncertainty becomes clarity. But interpreting...

How to Eliminate the X-Ray Bottleneck Without Compromising Accuracy 

In urgent care, time isn’t just money. It’s patient safety, staff sanity, and clinic reputation. Yet for many clinics, the...

MDwise Update for Indiana 

Starting January 1, 2026, MDwise will no longer participate as a managed care entity for Indiana’s Medicaid.  This includes Healthy...

2026 CPT Code Changes for Urgent Care 

Effective 1/1/2026, the AMA has approved CPT code 87812 to recognize ‘direct optical observation’ results for lab tests testing COVID-19...

Dec Industry Notes: Medicare Open Claim Issues – Part B 

Open claim issues - Part B  The claims issues log below includes the status of claims processing issues that have...

Telehealth Update for Medicare Jurisdiction JH and JL 

Telehealth services are defined as services a physician or practitioner provides via two-way, interactive technology (or telehealth). Telehealth substitutes for...

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