Keith A. Reynolds

The AMA will help physicians report and fight insurer downcoding. Here's how practices can find, log and appeal downcodes now, using MGMA's draft bill as the standard.

AI agents now log in to EHRs and payer portals on their own. Set these 13 rules first so a helpful bot doesn't become your next breach.

Fryer burns, carving cuts, holiday heart and, yes, turkey attacks: the codes your coders will need when the Thanksgiving injuries roll in.

Hackers are skipping the malware and calling your help desk instead. Here's how to keep one phone call from rerouting your payer deposits.

Democrats now control Congress. MGMA's Anders Gilberg on what that means for Medicare pay, the lame duck and the Patients First Act.

Four in five medical groups have open admin jobs. Here's how to keep claims, denials and prior authorizations moving until you hire.

Patients can now link their charts to AI assistants. Here's how to adjust intake, results, scripts and documentation before they walk in.

Humana and athenahealth just took electronic prior authorization nationwide. Here's what to ask your own EHR vendor before payer APIs go live Jan. 1.

Taya Gordon says education, appeals and payment alerts top the to-do list before Medicare's 2027 same-day and G2211 changes hit Jan. 1.

Office 2021 and Windows 11 24H2 lost security fixes Oct. 13, and Windows Server 2016 is next. Here's where outdated tech hides in a practice.

Two Medicare fraud cases, one over Botox and one over COVID-19 test kits, map the chart and claims gaps practices should audit now.

Democrats won Congress, but the Jan. 1 Medicaid work rules still stand. Here's how to budget your 2027 payer mix around what changed and what didn't.

The federal checklist behind your EHR shrinks Dec. 28. Lock down your contract, MIPS reporting and referral workflows while you have leverage.

'Not covered' is now the top denial reason, and UnitedHealthcare's pediatric code lists don't match. Run these checks before Dec. 1.

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.