#healthcare
Financial management and accounting solutions for healthcare businesses
The CFPB's nationwide medical debt credit reporting ban was vacated by a Texas federal court in July 2025, leaving protection to 15 state laws and the bureaus' voluntary policies — paid debts, collections under $500, and a 365-day grace period stay off reports everywhere. Here's what still applies in your state and how to keep a medical collection from raising your business loan rate.
ABA practices bill in 15-minute units under CPT codes 97153 and 97155, face industry-wide denial rates of 15-30%, and see predictable cash-flow dips when six-month prior authorizations lapse before renewal paperwork clears.
A 2.5% CMS cut to OT evaluation codes, a $2,480 KX modifier threshold, and the 8-minute rule all shape 2026 revenue for occupational therapy private practices, and each one requires a specific change to how the books are kept.
Medicare excludes routine foot care under Section 1862(a)(13) unless a Q7, Q8, or Q9 modifier documents a qualifying systemic condition, and a missed modifier produces a flat claim denial that podiatry practices often never trace back to a root cause in their books.
AI receptionist platforms cost $99–$299 a month versus $2,800–$4,500 for a fully-loaded human hire, but complex complaints, emotional calls, and HIPAA-covered patient information still require human judgment or a signed Business Associate Agreement — here's the real cost and capability comparison for 2026.
How translation agencies and medical transcription services can cost freelance linguist payables against per-word client billing, avoid 1099 vs. W-2 misclassification risk, and meet HIPAA business associate recordkeeping requirements.
A virtual medical scribe agency needs a signed Business Associate Agreement before billing a single shift, and its pricing model — hourly, monthly subscription, or per-encounter — determines when revenue should be recognized and how the chart of accounts should be structured.
Washington employers must withhold 0.58% of gross wages with no cap for the WA Cares Fund, the state's employee-funded long-term care program that began paying benefits up to $36,500 per worker in July 2026, and file combined quarterly reports with the Employment Security Department.
Locum tenens and travel-healthcare clinicians are 1099 contractors who owe 15.3% self-employment tax, must establish a valid IRS tax home to deduct travel costs, and often file non-resident state returns for every state where they worked.
NEMT providers face a documented audit risk unlike most small businesses — a 2022 federal audit found 72% of sampled New York claims non-compliant, and billing a no-show as a completed trip can trigger False Claims Act penalties starting at roughly $14,000 per claim plus treble damages.
PDGM prices every home health claim in 30-day case-mix periods, docks roughly 1/30th of the period's payment per day for a late Notice of Admission, and switches to a flat per-visit rate if a period falls under its LUPA visit threshold.
Employer HSA contributions outside a Section 125 cafeteria plan must be identical across comparable employees, or the IRS imposes a 35% excise tax on the full contribution pool, not just the excess.
