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A graphic shows a clipboard with a bar chart and check marks, alongside text: "The Balance Sheet: Informing Your RCM Decisions, February 2025, Part One.

← Back to Resources BCBS Downcoding Explanation Similar to Cigna claims, several individual BCBS licensees (e.g., Illinois, Texas, Massachusetts) have acknowledged that they will change

← Back to Resources MDwise Update for Indiana Starting January 1, 2026, MDwise will no longer participate as a managed care entity for Indiana’s Medicaid.

← Back to Resources 2026 CPT Code Changes for Urgent Care Effective 1/1/2026, the AMA has approved CPT code 87812 to recognize ‘direct optical observation’

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