Disclaimer This article is based only on officially released CMS data dated November 14, 2025. All figures are verified against CMS publications and Federal Register notices. No estimates or assumptions are used. Quick Summary Short Answer In 2026, Medicare beneficiaries will see higher Part A deductibles and Part B premiums. The standard Part B premium … Read more
In 2025, every Blue Cross Blue Shield (BCBS) member ID will begin with a three-letter prefix that indicates the plan’s origin, coverage type, and home state. This prefix dictates where claims should be sent, how benefits are processed, and which local BCBS company administers the policy. Therefore, to ensure accurate eligibility verification and claim filing, … Read more
Medical billing services for small practices handle claim submission, denial management, patient billing, and revenue cycle optimization for practices with 1-10 providers who cannot afford full-time billing staff. These services cost 4-8% of collections and typically increase revenue by 10-25% within six months by reducing claim denials, accelerating payment cycles, and eliminating billing errors that … Read more
Medicare coverage typically begins on the first day of the month you turn 65 if you enroll during your Initial Enrollment Period (IEP). If you sign up later, the start date may vary based on the month of application, the enrollment window you use, and whether you qualify through disability or special enrollment. Quick Summary … Read more
In 2025, choose Original Medicare if you value freedom to choose any doctor nationwide, predictable billing, and flexibility to add Medigap coverage. Choose Medicare Advantage (Part C) if you prefer lower monthly premiums, extra benefits like dental and vision, and a single, bundled plan. The best choice depends on your budget, health condition, and lifestyle. … Read more
In 2025, Medigap remains the best choice if you want predictable costs, nationwide coverage, and flexibility to choose any doctor who accepts Medicare. Medicare Advantage (Part C) is better if you prefer lower monthly premiums, extra benefits like dental and vision, and coordinated care within a local network. The right plan depends on how you … Read more
If you’re looking for the best Medigap plans in 2026, the top contenders remain Plan G, Plan N, and (for eligible individuals) Plan F, with Plan A and Plan L as viable alternatives depending on your health and budget. What this means is – select the plan letter based on your expected usage, eligibility (especially … Read more
If you’re looking for supplemental coverage to go with Medicare (Original Medicare Parts A & B), the top five Medigap (supplement) plans for 2025 are typically: Plan G, Plan N, Plan F (if you’re eligible), Plan A, and Plan L. Each offers a different balance of cost vs. coverage. What really matters is your health, … Read more
Quick Summary Prior authorization (PA) is the insurer’s review process that determines whether a medical service, drug, or procedure is medically necessary before coverage is approved. In 2025, CMS-mandated digital PA systems are transforming how providers and billers handle requests — but manual delays, denials, and payer variability still create major bottlenecks. Understanding each step … Read more
Prior authorization delays in healthcare occur when insurers require approval before covering treatments, often causing frustrating waits that can harm patients. To avoid them in 2025, focus on proactive communication, leveraging technology like AI-driven tools, building strong provider-insurer relationships, and implementing streamlined workflows. This guide provides a comprehensive, step-by-step approach to minimize delays, backed by … Read more