The Latest

Federal fraud flags start with peer comparison, and the first consequence is a payment hold. Here's what you need to check in your own claims data.

Fax is still the default in most practices. Here is how to retire the lines one workflow at a time, without breaking your referral pipeline.

A year after the insurer pledge, DrFirst CMO Colin Banas grades the six promises and names the Jan. 1, 2027 breaking point.

Texting is the highest-response channel in your practice and the least governed. Here are 13 rules before the FCC's 2027 deadline.

Pilot new workflows and technology with a handful of physicians first. Beta testing surfaces the problems before they get expensive.

Before buying another dashboard, run the eight reports your practice management system already generates.

Medicare wants to pay half for the lesser service on same-day claims. Our new handbook works out what modifier 25 encounters stand to lose.

Staff are pasting patient information into chatbots no one approved. Nine steps to pull that use into the open, and into compliance.

CMS's interoperability pledge just turned a year old, and the FHIR criteria are live. Here's what to ask your EHR vendor now.

Patients size up your practice before they ever call. Eight fixes for the tools they hit first.

How to prepare for when AI changes interactions with patients, staff and vendors

Medicare starts scoring heart failure and low back pain specialists Jan. 1. There is no opt-out, and 9 percent of Part B pay rides on it.

AI scribes reached exam rooms faster than the policies meant to govern them. Nine controls for a tool your practice already runs.

Neil Baum, MD, shares three measurement tools to gauge how pre-visit planning affects call volume, efficiency and productivity.

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

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.

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.

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

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.

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.