Falkor Consulting

Medical and Dental Consulting, Credentialing, Billing, and Revenue Cycle Management. Billing You Can Trust!

06/07/2026

Curious about medical billing? It’s more than paperwork—it’s the key to getting paid. Falkor Consulting handles claims, coding, and insurance follow-up so your practice runs smoother and gets paid faster.

🔗Let’s talk! Get your COMPLIMENTARY QUOTE OR DEMO today.
📞 833-636-3631
📧 [email protected]
🌐 falkorconsulting.com

06/06/2026

𝐌𝐞𝐝𝐢𝐜𝐚𝐢𝐝 𝐌𝐚𝐧𝐚𝐠𝐞𝐝 𝐂𝐚𝐫𝐞 𝐒𝐭𝐚𝐭𝐞 𝐃𝐢𝐫𝐞𝐜𝐭𝐞𝐝 𝐏𝐚𝐲𝐦𝐞𝐧𝐭𝐬 𝐚𝐧𝐝 𝐌𝐞𝐝𝐢𝐜𝐚𝐢𝐝 𝐅𝐞𝐞-𝐅𝐨𝐫-𝐒𝐞𝐫𝐯𝐢𝐜𝐞 𝐓𝐚𝐫𝐠𝐞𝐭𝐞𝐝 𝐌𝐞𝐝𝐢𝐜𝐚𝐢𝐝 𝐏𝐫𝐚𝐜𝐭𝐢𝐭𝐢𝐨𝐧𝐞𝐫 𝐏𝐚𝐲𝐦𝐞𝐧𝐭𝐬 𝐏𝐫𝐨𝐩𝐨𝐬𝐞𝐝 𝐑𝐮𝐥𝐞 (𝐂𝐌𝐒-𝟐𝟒𝟒𝟗-𝐏)

The Centers for Medicare & Medicaid Services (CMS) has released a proposed rule aimed at increasing transparency, improving oversight, and aligning Medicaid payment practices more closely with Medicare standards. The proposal focuses on State Directed Payments (SDPs) and certain targeted Medicaid fee-for-service payments, which have grown significantly in recent years.

Under the proposal, payment rates would generally be capped at 100% of Medicare rates in Medicaid expansion states and 110% in non-expansion states, helping establish consistent national standards while promoting fiscal responsibility. CMS says the changes are intended to strengthen program integrity, improve accountability for taxpayer dollars, and ensure Medicaid resources are focused on delivering quality care to beneficiaries.

The rule would also apply similar limits to certain targeted fee-for-service payments and introduce additional oversight measures designed to create a more transparent and sustainable Medicaid payment system. CMS is currently seeking public feedback on the proposal.

Date: May 2026
Source: CMS Newsroom
Read more: https://www.cms.gov/newsroom/fact-sheets/medicaid-managed-care-state-directed-payments-medicaid-fee-service-targeted-medicaid-practitioner

06/05/2026

When clients say we’re always available and teach them the ins and outs of billing—you know Falkor Consulting delivers.

💬 Let’s talk! Get your COMPLIMENTARY QUOTE OR DEMO today.
📞 833-636-3631
📧 [email protected]
🌐 falkorconsulting.com

06/04/2026

POV: You’re trying to follow up on a rejected medical claim… again. 🕒☎️

We’ve all been there. You dial the insurance provider, sit through hours of elevator music, and when you finally get a human on the line, the runaround begins. If your staff is spending their valuable time arguing with insurance reps and listening to "all of our representatives are still assisting other customers," your practice is losing more than just patience—it's losing money.

At Falkor Consulting, we say: Don’t get stuck on hold. Let the experts take over.

👉 Request your COMPLIMENTARY QUOTE or DEMO today.
📞 833-636-3631
📧 [email protected]
🌐 falkorconsulting.com

06/03/2026

Healthcare pros, your billing backup is here. Falkor Consulting takes the hassle out of pre-authorizations so you can reclaim your time and revenue.

💬 Claim your COMPLIMENTARY QUOTE OR DEMO now!
📞 833-636-3631
📧 [email protected]
🌐 falkorconsulting.com

06/02/2026

𝐂𝐌𝐒 𝐌𝐨𝐯𝐞𝐬 𝐓𝐨 𝐑𝐞𝐢𝐧 𝐈𝐧 𝐌𝐢𝐬𝐮𝐬𝐞𝐝 𝐌𝐞𝐝𝐢𝐜𝐚𝐢𝐝 𝐃𝐨𝐥𝐥𝐚𝐫𝐬 𝐀𝐧𝐝 𝐑𝐞𝐰𝐚𝐫𝐝 𝐐𝐮𝐚𝐥𝐢𝐭𝐲 𝐂𝐚𝐫𝐞

The Centers for Medicare & Medicaid Services (CMS) has proposed a new rule aimed at strengthening Medicaid accountability, reducing excessive spending, and ensuring taxpayer dollars are focused on patient care. The proposal would place limits on certain state-directed payment arrangements that have allowed Medicaid reimbursement rates to exceed Medicare levels, contributing to rising federal costs.

If finalized, the rule is projected to save more than $775 billion over the next decade, including $510 billion in federal savings. CMS says the reforms will help improve transparency, align Medicaid payments more closely with Medicare standards, and prevent financing practices that increase costs without consistently improving healthcare outcomes.

Key provisions include capping provider payment rates, applying similar limits to targeted fee-for-service payments, and establishing nationwide standards for oversight and accountability. CMS believes these changes will help preserve Medicaid's long-term sustainability while prioritizing quality care for beneficiaries.

Date: May 2026
Source: CMS Newsroom
Read More: https://www.cms.gov/newsroom/press-releases/cms-moves-rein-misused-medicaid-dollars-reward-quality-care

06/01/2026

Stop losing revenue to rejected claims. Falkor Consulting ensures clean submissions the first time—no setup fees, no minimums, just faster payments.

💬 Let’s simplify your billing. Get your COMPLIMENTARY QUOTE OR DEMO today!
📞 833-636-3631
📧 [email protected]
🌐 falkorconsulting.com

05/31/2026

At Falkor Consulting, we make sure your modifiers are accurate, compliant, and strategically applied to maximize reimbursement and minimize risk.

👉 Request your COMPLIMENTARY QUOTE or DEMO today.
📞 833-636-3631
📧 [email protected]
🌐 falkorconsulting.com

05/30/2026

𝐂𝐌𝐒 𝐋𝐚𝐮𝐧𝐜𝐡𝐞𝐬 𝐅𝐢𝐫𝐬𝐭 𝐖𝐚𝐯𝐞 𝐎𝐟 𝐇𝐞𝐚𝐥𝐭𝐡𝐓𝐞𝐜𝐡 𝐄𝐜𝐨𝐬𝐲𝐬𝐭𝐞𝐦 𝐓𝐨𝐨𝐥𝐬, 𝐅𝐚𝐬𝐭‑𝐓𝐫𝐚𝐜𝐤𝐢𝐧𝐠 𝐀 𝐅𝐮𝐥𝐥𝐲 𝐃𝐢𝐠𝐢𝐭𝐚𝐥, 𝐏𝐚𝐭𝐢𝐞𝐧𝐭‑𝐂𝐞𝐧𝐭𝐞𝐫𝐞𝐝 𝐇𝐞𝐚𝐥𝐭𝐡 𝐒𝐲𝐬𝐭𝐞𝐦

The Centers for Medicare & Medicaid Services (CMS) has officially announced the first wave of Health Tech Ecosystem tools, marking a major step toward a fully digital, patient-centered healthcare system in the United States.

This initiative focuses on improving how healthcare data is shared, accessed, and used—empowering patients, providers, and payers with faster, more seamless digital solutions.

🔍 Key Highlights:

💻 Launch of new digital tools and APIs to enhance interoperability across healthcare systems
🔄 Improved real-time data exchange between providers, insurers, and patients
📲 Greater access for patients to their own health records and care information
⚡ Faster workflows for providers through automation and reduced administrative burden
🤝 Strengthened collaboration across the health tech ecosystem, including developers and healthcare organizations

By leveraging modern technology, CMS aims to streamline care delivery, reduce inefficiencies, and improve patient outcomes—while accelerating the shift toward a more connected and transparent healthcare experience.

This move reinforces CMS’ long-term vision of a healthcare system where data flows securely and effortlessly, enabling smarter decisions and better care for all.

Date: April 9, 2026
Source: CMS Newsroom
Read more: https://www.cms.gov/newsroom/press-releases/cms-launches-first-wave-healthtech-ecosystem-tools-fast-tracking-fully-digital-patient-centered

05/29/2026

Having a billing team that actually shows up for you makes all the difference. Falkor Consulting gives you consistency, quick answers, and the kind of support that makes insurance headaches disappear.

👉 Request your COMPLIMENTARY QUOTE or DEMO today.
📞 833-636-3631
📧 [email protected]
🌐 falkorconsulting.com

Address

7901 4th Street N, #2339
Saint Petersburg, FL
33702

Website

http://falkorconsulting.com/

Alerts

Be the first to know and let us send you an email when Falkor Consulting posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.