Acuity Billing Solutions LLC

10/16/2026

💡 FRIDAY FOCUS | Is your practice ready for patients’ 2027 Medicare coverage changes? Medicare Open Enrollment is underway through December 7. Patients may switch plans, and plan costs, coverage, or provider networks can change for the new year! Acuity Billing Solutions LLC supports practices with patient eligibility verification and billing follow-up. Send us a message to learn how we can help.

10/12/2026

💡Medicare Monday Minute

Could outdated codes lead your team to the wrong denial follow-up? Acuity Billing Solutions LLC helps practices review denials, identify next steps, and keep A/R follow-up moving. Need support with denial follow-up? Send us a message!

10/06/2026

🗣 𝐖𝐇𝐄𝐍 𝐀 𝐃𝐔𝐏𝐋𝐈𝐂𝐀𝐓𝐄 𝐋𝐀𝐁 𝐓𝐄𝐒𝐓 𝐁𝐄𝐂𝐎𝐌𝐄𝐒 𝐀 𝐃𝐄𝐍𝐈𝐀𝐋

CMS recently reminded healthcare practices that Medicare generally does not pay for duplicate laboratory tests unless the repeat testing is medically necessary.

10/01/2026

09/22/2026

📢 TUESDAY TAKEAWAY: IS YOUR TELEHEALTH BILLING READY?

A Medicare telehealth billing change takes effect October 1, 2026.

Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) will need to report the individual CPT or HCPCS code for the telehealth service instead of billing the single code G2025.

Claims must also include the appropriate modifier:
Modifier 93 — Real-time audio-only service
Modifier 95 — Real-time audio-and-video
service

Affected practices should update their billing systems, coding guides, and staff training before the effective date. Always verify individual payer requirements before submitting claims.

A small coding change can make a big difference in preventing rejections and delayed payments.

Acuity Billing Solutions LLC
Clarity and confidence for your revenue cycle.

📞 803-265-5699
🌐 acuitybillingsolutions.com
📧 [email protected]

Read the CMS Medicare Learning Network update⁠.

https://www.cms.gov/training-education/medicare-learning-network/newsletter/mln-connects-newsletter-september-10-2026

We specialize in claim processing to maximize revenues and support healthcare providers in delivering quality care to their patients. We also perform accurate billing to reduce delays in payments and optimize the reimbursement process. Patient Eligibility Verification: Verifying the accuracy of pati...

09/14/2026

Electronic health records make it convenient to carry information forward from previous visits—but copied documentation should always be carefully reviewed and updated.

CMS recently reminded healthcare providers that outdated, incomplete, or conflicting information in a patient’s medical record can affect covyerage and contribute to claim denials.

𝗞𝗘𝗬 𝗧𝗔𝗞𝗘𝗔𝗪𝗔𝗬:

Before signing each encounter, confirm that the documentation accurately reflects:

The patient’s current condition
✔️ Services provided during the visit
✔️ Medical decision-making
✔️ Treatment plans and recommendations
✔️ Any changes since the previous encounter

Accurate documentation supports clean claims, proper reimbursement, and a stronger revenue cycle.

Acuity Billing Solutions LLC helps healthcare practices stay proactive through:

✔️ Claim Submission & Processing
✔️ Denial Management & Appeals
✔️ Accounts Receivable Follow-Up
✔️ Insurance Eligibility Verification
✔️ Patient Billing Support

Clean claims begin with clear, current documentation.

📞 803-265-5699
🌐 AcuityBillingSolutions.com

Shannon Miller, CPC
Owner | Billing Specialist

09/04/2026

Friday Focus!

08/31/2026

Motivational Monday!

08/21/2026

💡 FRIDAY FOCUS
WHEN AN ALGORITHM SAYS “DENIED”

Insurance payers are increasingly using automated systems to review claims—but an algorithm-generated denial should not automatically be treated as the final answer.

A recent Physicians Practice article highlights eight ways medical practices can respond when technology is used to deny a claim. Check it out:

https://www.physicianspractice.com/view/8-ways-to-fight-back-when-a-payers-algorithm-denies-your-claim

KEY TAKEAWAY:

Successful denial management requires:

✔️ Timely follow-up
✔️ Strong, complete documentation
✔️ Careful review of payer guidelines
✔️ A willingness to appeal when appropriate

Without a consistent process, preventable denials can remain unresolved—and valuable practice revenue may be lost.

Acuity Billing Solutions LLC helps healthcare practices stay proactive with:

✔️ Denial Management & Appeals
✔️ Claim Submission & Processing
✔️ Accounts Receivable Follow-Up
✔️ Insurance Eligibility Verification
✔️ Patient Billing Support

Don’t let an automated denial be the end of the conversation.

📞 803-265-5699
🌐 AcuityBillingSolutions.com

Shannon Miller, CPC
Owner | Billing Specialist

08/11/2026

🛡️ Revenue Protection Tip | No Surprises Act Updates!!!