
Two Prior Auths on One Case. Why Ortho and Pain Billing Just Got Twice as Complex.
If your practice is in Arizona, New Jersey, Ohio, Oklahoma, Texas, or Washington, one case can now trigger two separate prior auth requests from the

If your practice is in Arizona, New Jersey, Ohio, Oklahoma, Texas, or Washington, one case can now trigger two separate prior auth requests from the

If your ASC’s clean claim rate is below 90%, the issue is rarely your staff. Most often, it is your billing tools. Revenue cycle management

If your Q2 collections are down, you may be looking for one cause. But there are three. They run at the same time, hit different

CMS removed geographic limits on behavioral health telehealth in 2026. That change is a major win for outpatient mental health practices. But permanent access does

Case volumes are up. The rooms are full. The schedule is packed.
And yet, margins are shrinking.
That is the story heading into

If you run a 5 to 20 physician group and are not thinking about a sale, your billing setup probably feels like an ops problem

Prior authorization is one of the biggest time drains in specialty care, and if you work in dermatology, oncology, or rheumatology, you already know the

You get a denial from a Medicare Advantage (MA) plan. Your staff takes one look, then redirects their focus to the next item in line.

Your original Medicare billing rules changed on January 1, 2026. If your practice is in Arizona, New Jersey, Ohio, Oklahoma, Texas, or Washington, this affects

United Healthcare made a big move on April 20, 2026. It announced it will remove most prior auth (PA) requirements for about 1,500 rural hospitals.

CMS continues to refine how payments differ by care setting in 2026, making site-of-service accuracy more financially impactful than before.

A new medical device gets FDA approval. Your doctors want to use it. The clinical case is strong. But Medicare will not cover it yet.

The numbers have been public since December 2025. CMS finalized its CY2026 payment rates, and the arithmetic for ambulatory surgery centers has not changed in

A safety-net hospital in a major metro area closed this year. It served around 100,000 patients. Many of them had no other nearby option. The

Payments slow to a crawl. Claims pile up. Staff hours vanish on prior auth calls. Cash flow gets shaky.
Chaos rules revenue cycle management.

A federal judge dismissed a complaint filed by a major national insurer on April 9. The ruling was clear: courts cannot second-guess arbitration outcomes under

A federal judge dismissed a complaint filed by a major national insurer on April 9. The ruling was clear: courts cannot second-guess arbitration outcomes under

The digital payments market in the United States, according to Statista is expected to grow by 10.73% annually from 2024 to 2028, reaching a market

The digital payments market in the United States, according to Statista is expected to grow by 10.73% annually from 2024 to 2028, reaching a market

As the landscape of payments continues to evolve, CERTIFY Pay is excited to announce the integration of Apple Pay into our suite of merchant services.

Discover how CERTIFY Pay is transforming transaction processes through seamless integration of advanced payment methods. Explore the benefits of modernizing your payment systems and staying

Omnichannel payment solutions help businesses enhance customer satisfaction and boost their revenue. Read more to understand the comprehensive guide.

Discover vital steps to selecting the perfect payment provider for your business. Check out CERTIFY Pay customized solutions and make the right decision.

Discover how CERTIFY Pay offers the three best ways for small businesses to efficiently accept credit card payments.

CERTIFY Pay presents the latest guide to payment trends for 2024! Uncover our innovative gateways redefining the financial interactions for payment businesses.

As a small business owner, you need a secure and easy-to-use online payment processor to keep up with this growing trend. But with so many

It’s no secret that convenience is key when it comes to running a successful business. In order to thrive in the digital world, merchants, small

Explore how contactless QR code payments are transforming the digital landscape with security, convenience, and easy accessibility through this insightful blog.

Fintech innovations have drastically accelerated the digitization of payments for businesses, forming the backbone of today’s swift digital landscape. Secure payment gateways are important for

In the dynamic world of modern commerce, convenience, and efficiency are paramount priorities. Consumers and businesses constantly seek secure, seamless, and adaptable payment solutions tailored

Merchants and enterprises are in search of a solution that offers functionalities for bookkeeping, securely saving financial data. Introducing a game-changing feature that is poised

In today’s rapidly evolving business landscape, staying ahead of the competition requires embracing innovative technologies that streamline operations, enhance customer experiences, and boost overall efficiency.

As a merchant, it’s crucial to monitor expenses and seek cost-saving opportunities. One area to consider is your merchant services statement. By having your statement

Credit card surcharging has become a hot topic for merchants in recent years as they try to mitigate the impact of rising interchange costs. These

In recent years, merchants across the globe have been grappling with the issue of rising interchange costs. These costs refer to the fees that merchants
As a merchant, you may be charged extra fees for not following the Payment Card Industry Data Security Standards (PCI DSS) when accepting credit card
We are committed to delivering innovative payment technology solutions that empower businesses to operate securely and efficiently. Our goal is to equip merchants with cutting-edge tools for managing, optimizing, and streamlining their payment processes.
Copyright © 2026 CERTIFY Pay. All Rights Reserved