Keith A. Reynolds

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.

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.

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

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.

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.

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.

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.

States are limiting AI in coverage decisions. How billing teams can cite the laws on appeal, and why self-funded plans fall outside them.

Six in 10 practice leaders say they are burned out. These eight moves help keep the person who runs your office from walking out the door.

Plaintiffs' attorneys now pull the EHR audit trail as routinely as the chart. Here's how to make sure yours tells the story you need it to.

UnitedHealth says No Surprises Act arbitration awards are its biggest cost pressure. What practices that use IDR should document now.

Ransomware, cloud failures and power cuts can take your EHR offline without warning. These 20 steps keep patients moving and revenue flowing.

Nearly 1 in 4 licensed doctors is 65 or older. Few hospitals screen them, and practices often have no checkpoint at all.

Federal regulators are fielding thousands of information blocking claims. These everyday practice habits are the ones most likely to draw one.

Most Medicaid improper payments trace to missing paperwork, not fraud. These nine checks close the gaps auditors keep finding.

MGMA acting CEO Akash Madiah on what members need, what the association must fix and how administrators can stop revenue leaks now.

Heal 360's $20 million settlement over swabs billed as full office visits shows how scribe and template notes can expose any practice.

Payers deny with AI while practices appeal by hand. Taya Gordon on retiring 30-day AR buckets, the benchmarks to watch and a quick downcoding check.

Most practices have a cyber plan and an AI policy. Far fewer can show either one works. Here's how to turn paperwork into proof.

Only 5 percent of physicians say they have real leverage with payers. Here is what that group does before it ever sits down at the table.

Four Oct. 29 sessions cover supplemental pay, payer contracts, Kentucky Medicaid and workload pressure for physicians and administrators.

A 2027 Medicare proposal would stop paying for RPM time logged by vendor staff and cut device payments. Our handbook walks through what to do.

An IDR win isn't a check. Payers have 30 days to pay, courts won't force them to and CMS admits awards are slipping through.

One billing vendor's breach reached 626,540 patients. Here's how to limit what outside companies can see in your EHR and how fast they must tell you.

A third of family physicians still spend three-plus hours a day in the EHR after clinic. These fixes pull that work back into the workday.

MGMA's Anders Gilberg says few practices have heard from EHR vendors about the Jan. 1 prior authorization API deadline.