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Medicare's final 2027 fee schedule cuts pay and changes same-day and G2211 billing for practices
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'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.

2 appeals courts block suits over unpaid No Surprises Act awards. Here's what practices can still do
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.

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

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.

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

Dengue in Florida: an operations checklist for medical practices
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.

Three questions at check-in could keep your Medicaid patients covered in 2027
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.

Try cheap solutions now because your most reliable employee may be ready to walk.

A new HHS delegation lets CMS bar practices from Medicare and Medicaid, and no guidance says how it will share that power with OIG in settlements.

A review of 1,536 patient inquiries found those answered within five minutes booked at more than three times the rate of those waiting over a day.

How not to be the administrator who says, I didn't see that coming

Neil Baum, MD, reads “The Giving Tree” as a warning for health care workers: Give generously, but don’t give until you’re a stump.

State AI insurance laws give practices new grounds to fight denials and downcodes
States are limiting AI in coverage decisions. How billing teams can cite the laws on appeal, and why self-funded plans fall outside them.






























