Cutting Through Payer Bureaucracy

The 2026-2027 respiratory season is just about here. There’s still time to vaccinate patients, experts say.

Hackers are skipping the malware and calling your help desk instead. Here's how to keep one phone call from rerouting your payer deposits.

Neil Baum, MD, lays out five pre-visit planning steps that save time, cut follow-up calls and portal messages, and improve patient care.

Democrats won Congress, but the Jan. 1 Medicaid work rules still stand. Here's how to budget your 2027 payer mix around what changed and what didn't.

Medicare’s monthly bundled codes pay primary care for work between visits. Most practices have not tried them yet.

'Not covered' is now the top denial reason, and UnitedHealthcare's pediatric code lists don't match. Run these checks before Dec. 1.

The 2nd and 5th circuits won't let providers sue over unpaid IDR awards. Here are the routes left and how to reserve for money that may never come.

Neil Baum, MD, offers physicians a simple ethics check: Could you comfortably explain your decision to a patient or colleague over coffee?