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The latest in all things RCM, Electronic Health Records, Radiology Information Systems, Practice Management, Medical Billing, Value-Based Care, & Healthcare IT.

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David M. Guarnaccia

David is Senior Business Director, Revenue Cycle Management at ADS, where he partners with healthcare organizations to drive operational and financial performance through optimized revenue cycle strategies. He leverages his expertise in cost containment, compliance, and strategic planning to help employers and providers streamline processes, improve financial outcomes, and enhance the value of benefits and services from both business and patient perspectives

Blog Feature

Medical Billing / RCM | Orthopedic

2026 Orthopedic Billing Strategies: Site of Service, Revenue, and Leakage Prevention

By: David M. Guarnaccia
February 9th, 2026

For orthopedic practices, 2026 is not just another update year. It is a reset. Decisions about where care is delivered have always mattered clinically. Now they matter financially just as much. Medicare payment policy has made site of service a direct driver of reimbursement, and practices that do not adapt will feel it in quieter but very real ways.

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