Keith A. Reynolds

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.

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

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.

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

MGMA's Anders Gilberg on the 2027 conversion factor cut, budget neutrality, modifier 25 and why MVPs won't ease the reporting load.

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.

CMS blocked $1.6 billion in suspect lab payments, and new rates land Jan. 1. Ten checks to run on your in-office lab first.