
Medicare's comment window on the 2027 fee schedule closes Sept. 14. Here is how to file one that CMS will actually read.

Managing editor of Physicians Practice

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.

Most practices owing back wages never meant to. Here are the everyday pay habits that draw federal investigators and plaintiff lawyers.

Texas SB 1318 applies to noncompetes entered or renewed after Sept. 1, 2025. The statute never defines renewal, and that is the problem.

Taya Gordon on the denials, contracts and documentation gaps quietly draining practice revenue, and how to find them before they grow.

The AMA is pressing CMS to withdraw a proposed 50 percent cut for office visits billed the same day as a procedure.

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.

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.

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.

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

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.

Charge capture is the quiet leak. Keep an eye on these eight services your practice already performs, and probably never bills for.