News

Payer algorithms deny in seconds. Eight moves that turn an automated no into a decision a human has to defend.

Jay Bregman of Andel explains how employers are carving high-cost drugs out of the pharmacy benefit, and what happens to a patient's price when the contribution stops.

Buyers judge transferability, risk concentration and what runs without you. Start looking at your practice through their lens years before a deal.

One-third of adults now ask a chatbot before they ask you. Seven ways to handle the AI patients bring into the exam room.

Patients skip doses for all kinds of reasons. Neil Baum, MD, on 10 technologies that keep them on track between visits.

Days in A/R is the one number every practice watches. These nine show where the money is actually leaking.

Dozens of insurers promised six fixes to prior authorization. A year in, physicians report almost no change, and the harder test arrives Jan. 1, 2027.

MFA and encryption are about to become mandatory under HIPAA. Here are 10 security gaps to close before a breach or auditor finds them.

Every practice has one person who is the only one who knows how to do a handful of things. Here are eight of them, and what breaks the week that person is out.

Cross-training, better staff meetings and role-playing can turn individual employees into a team that weathers shortages.

Charge capture is the quiet leak. Keep an eye on these eight services your practice already performs, and probably never bills for.

Are the systems you retired still on the network? Here are eight steps to shut them down before a regulator or an attacker finds them.

Joanne Frederick of Government Market Strategies argues the fix for runaway health care costs turned out worse than the problem it solved.

The FTC, California and Utah sued Hims & Hers, alleging the telehealth company misled consumers on privacy and subscriptions.

Two Lego pins one hole off cost two hours. In a practice, small errors cost far more. Neil Baum, MD, on 10 details that matter.

Front desk churn slows rooming, ages claims and burns overtime. These nine moves will help keep the people who run your practice's first impression.

Medicare would pay for RPM and RTM only when practice-employed clinical staff do the work under the CY 2027 fee schedule proposal.

Front-end collections are rising while back-end recovery slides. These moves can get the balance paid while the patient is still there.

The EHR is dark and the waiting room is full. Eight moves that keep patients moving and revenue flowing until systems come back.

Staffing shortages, training gaps and insurance verification delays are the front-end problems dragging on patient access, and nearly all of them land on the administrator's desk. Experian Health's chief operating officer breaks down which ones automation can absorb now and which ones still need payer or policy reform.

Auto-renewals and quiet price escalators keep vendor spend climbing. Ask these eight questions before the contract rolls over.

Neil Baum, MD, on why the Stanford marshmallow test explains the money habits that decide a physician's financial future.

CMS says its Medicaid Fraud War Room stopped $203 million and flagged 50 providers in 88 days, all surfaced by billing analytics.

An outbreak in the news brings a surge of calls before it brings a surge of cases. A Michigan pediatrician on the triage rule, the lab conversation and the reassurance approach that keep a practice from being overwhelmed.

Practices collect about 30 percent of what patients owe after insurance, here are six ways to work the pile that already went bad.

Two Aug. 6 sessions tackle flexible staffing and revenue cycle leaks, with practical steps physicians and administrators can use right away.

How a phone is answered and when labs are ordered can reshape a practice. Neil Baum, MD, explains the butterfly effect.

The clinical note is now the most-read thing a practice publishes; here are eight ways to make documentation work as patient communication.