The Latest

CMS dropped 760,000 marketplace enrollees in a fraud sweep. Real-time eligibility checks keep the fallout from turning into denials.

Florida's proposed school vaccine rule also rewrites DH 680, DH 681 and the Florida SHOTS forms and provider agreements.

Traditional MIPS would end after 2028 under a CMS proposal. Practices that want an MVP for 2026 must register by Nov. 30 at 8 p.m. EST.

Wisconsin APRNs can now apply to practice without a collaborating physician, but Medicare billing rules may still require one.

Someone else configured your EHR. These 18 defaults quietly add clicks, inbox noise and compliance risk to every clinic day.

A delay would leave practices without the information they need to train staff and test workflows before the deadline, the AMA told CMS.

Heel pain gets laterality, BRCA gets its own code and liver fibrosis gets a middle stage. These are the FY 2027 additions your physicians will reach for.

Experience is one of medicine's most valuable resources. Neil Baum, MD, argues physicians should be judged on competence, not age.

Federal accessibility rules now cover practice websites, portals and online forms. The deadline moved, but the lawsuits and complaints didn't.

The 2026 Healthcare Workforce Barometer measures the gap between what practice leaders think their staff want, and what staff say they want.

A House hearing put the Patients First Act and four related bills in play. Here is how each would change Medicare pay and practice rules.

AI scribes won't do all your charting. Define their use cases, cut redundant steps and reshape workflows to see real time savings.

Four in five practices already run AI in the front office. Far fewer have written the rules, picked the metrics or named what stays human.

MGMA is fighting a 2027 Medicare proposal that would halve payment when an office visit and a procedure land on the same day.

Conifer's 1,037 layoffs and an intensifying Medicaid fraud crackdown are squeezing practice revenue cycles from both sides.

A field guide to the 2026 MGMA Annual Conference agenda, from the Sunday revenue cycle workshop to the government affairs town hall.

Federal decision deadlines hit Jan. 1. An MGMA poll finds 44 percent of practices say prior authorization got slower anyway.

Broken equipment, missing charts, no open slots. New PAI survey data hands administrators a punch list of what physicians say is failing.

The 11th Circuit upheld the False Claims Act's qui tam provisions, and a $541.5 million settlement shows the value of self-disclosure.

The FY 2027 code set lands Oct. 1 with no grace period. Deleted codes, quiet demotions and new laterality rules start denials on Day 1.

Payers must turn on four prior authorization APIs by Jan. 1. Practices have no deadline, which is why most will get nothing from it.

Medicare's comment window on the 2027 fee schedule closes Sept. 14. Here is how to file one that CMS will actually read.

Neil Baum, M.D., on how Gloria Steinem and the women's movement reshaped who becomes a doctor, and the work medicine still has left to do.

Medicaid work requirements hit the front desk Jan. 1, 2027. What changes at check-in, in billing and when coverage lapses mid-treatment.

Neil Baum, MD, on why hydration belongs in preventive care for older patients, and the questions that find who is at risk.

You do not need a budget line to thank the people who held the schedule together this summer. Twelve ideas for Labor Day, most of them free.

Nearly 150 medical groups want CMS to fix same-day E/M overlap code by code instead of cutting payment 50 percent.

One line in a payer contract just cut 40% of a Hawaii clinic's panel.

Comments on Medicare's CY 2027 pay rule close Sept. 14. These 10 proposals will cost practices the most if they are finalized as written.

Portal messages jumped 153 percent in five years while visits went up too. Eleven ways to get the inbox back under control.

The comment window closes Sept. 14, and the same rule already previews what a coding transition looks like operationally.