The Latest

Practices face a 2.31% conversion factor cut, a 20% same-day visit reduction and new E/M modifiers starting Jan. 1.

Two Medicare fraud cases, one over Botox and one over COVID-19 test kits, map the chart and claims gaps practices should audit now.

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.

The federal checklist behind your EHR shrinks Dec. 28. Lock down your contract, MIPS reporting and referral workflows while you have leverage.

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

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.

WISeR cut targeted services 15 to 20 percent in six states. These fixes protect your volume, your claims and your patients' place in line.

Premiums are climbing far faster than physician pay. Here's how independent practices can build the case for higher payer reimbursement rates.

Insurer exits and network splits will change Medicare Advantage coverage for many patients on Jan. 1. Here's how practice leaders can prepare in every state.

Pennsylvania's outbreak is part of a national surge. Here's how to prepare the front desk, exam rooms, staff records and vaccine supply.

A Johns Hopkins employee put 3,182 patients' data into a consumer AI tool. Here's what that mistake would cost a small practice.

Hurricane Isaias waivers add little on telehealth, but Medicare Advantage network rules and refill limits loosen for Florida practices.

Most partnership problems are predictable. Settle pay, governance, new partners and succession while the group is healthy, not after trouble starts.

MGMA poll: 63 percent of groups are adding revenue cycle automation as payers push harder, and the EHR is the first place to look.

Here’s how to make your front desk part of the state’s dengue response.

Quest says an intruder reached patient records in the lab portal your staff may use every day. Here's what to lock down, reconcile and tell patients.

How practice managers can fend off two cybersecurity incidents: a critical flaw in widely used website code and a breach of a Quest lab portal.

Staff raise budgets are tight for 2027, and turnover still costs more. Our new handbook shows how to price roles, fix compression and keep staff.

Practice bankruptcies are climbing. Here's what owners should plan for, from warning signs to a patient care ombudsman to who keeps patient records.

Neil Baum, MD, weighs the 10 benefits and eight risks data centers bring to physicians as the facilities spread across rural America.

The Kirksville center's grant comes as Missouri practices rework maternity billing, staffing and pay plans for Jan. 1.

Frequently asked questions about differentiating the CMS and AMA code sets.

One missed lunch can signal a practice-wide wage and hour problem. Here's how to spot it, fix the process and keep it from becoming a class action.

Laws bind, ethics codes guide and morals are personal. Here's why physicians need to know the difference, especially on conscientious objection.

A former congressman and hospital and medical school advocacy leaders outline which federal health programs could shift in a divided Washington.

Overhead ratio, days in A/R and the owner draw explain why a practice can collect more than last year and still come up short on payroll.

Nearly half of Medicaid members aren't ready for Jan. 1 work rules. Our new handbook shows the front desk how to keep eligible patients covered.

Ambient scribes, chart summaries and AI agents are arriving in routine EHR updates. Here's what to switch on, test and watch.

New CPT codes, a DEA telehealth deadline and a Dec. 31 risk analysis cutoff all run through your EHR. Here's the year-end checklist.