Keith A. Reynolds

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.

New ICD-10 codes, NCCI edits and Medicaid eligibility limits all took effect Oct. 1. Here's what practices should check this week.

Texas laws on offshore records, AI disclosure, portal holds and gold cards are all in force now. Six checks worth an afternoon.

MGMA's Andy Swanson on longer primary care waits, APP hiring, staff raises that fall short and the one number to benchmark in 2027.

Three big payers are moving to shared credentialing through CertifyOS. What it could fix for practices and what it leaves on your desk.

About 34 percent of medical groups have built their own tools with AI. Check HIPAA, code ownership and insurance before yours goes live.

Pew found 72 percent of adults want to know when AI touches their care. Only 16 percent say a doctor has ever told them.

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.

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.

Political news staff take in at home follows them to work as anxiety and lost engagement, a new study finds. Five ways to manage the spillover.

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

CMS cut its final Ambulatory Specialty Model list 16 percent from February. See who is in and how much Part B pay is at risk.

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.

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.