Jennifer McNamara

Claim denials are often treated as a billing problem—something to be appealed, corrected, and moved past as quickly as possible. But denials are rarely the root issue. They are a symptom of deeper operational misalignment within a practice. When organizations focus solely on fixing denials, they miss the opportunity to prevent them altogether. Understanding What … Read more

Pediatrics remains one of the most rewarding—but also one of the most complex—specialties from a billing and coding perspective. From vaccine administration rules to age-specific evaluation and management (E/M) coding, pediatric practices face a unique blend of clinical and administrative challenges. As we move into 2026, several upcoming vaccine updates and coding shifts make now … Read more

The year 2026 brings one of the biggest CPT overhauls in urology in more than a decade. The long-standing prostate biopsy code 55700 is deleted, and a brand-new family of procedure codes replaces it. These new codes bundle imaging, clarify approach, distinguish targeted lesions, and standardize how prostate biopsy is billed across all technologies—including ultrasound, … Read more

Remote work has created unprecedented flexibility and access to talent, but it has also introduced a pressing question for business owners and executives: How do you actually know if your remote employees—especially leaders—are working productively? Unlike traditional office environments where presence was often mistaken for productivity, remote work forces companies to focus on output, communication, … Read more

CMS began requiring certain providers to report CPT 99024 in 2017 to capture the actual number of postoperative visits that occur within 10- and 90-day global periods. Many assumed this data collection would be temporary, but CMS has not discontinued the requirement. In fact, a 2025 OIG audit confirmed CMS still expects reporting and urged … Read more

Every November, we hear more about men’s health and the importance of talking about it — screening for prostate cancer, staying active, and getting checkups. However, there’s another side to that conversation we don’t discuss enough — the role of urology in maintaining those services, and the work that takes place behind the scenes to ensure those … Read more

For years, documentation under the 1995 and 1997 E/M guidelines focused on counting bullets, listing systems, and meeting numerical thresholds. Physicians were trained to “document more” to justify a level of service, even when the extra words didn’t reflect greater complexity or necessity. The problem is that payers never cared about volume. They have always … Read more

At Healthcare Inspired, compliance is not just a requirement. It is a promise. We know that operational success in healthcare depends on structure, accountability, and doing things the right way. That is why we are proud to welcome Emily Bailey, CPC-A, as our Compliance Officer. Meet Emily Bailey: A Leader Focused on Doing Things the … Read more

“Whoever is careless with the truth in small matters cannot be trusted with important matters.”— Albert Einstein Gossip vs. Defamation: Where the Line Gets Crossed We’ve all heard it — the “Did you hear what she said?” moments that swirl around the break room or group chat. Workplace chatter can start off innocent, even bonding. … Read more