News

With a deeper Medicare pay cut taking effect Jan. 1, MGMA's Anders Gilberg explains what practice leaders should check now and what Congress could still change.

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.

The National Academies’ five-year primary care update calls for new payment structures and a bigger workforce. Here is how each recommendation could reach the practice.

A five-year update from the National Academies warns that coverage losses will strain primary care practices.

New Medicare codes, billing rules and deadlines arrive in the next 14 months. Here's what to set up now.

A family physician argues clinical AI should earn independence task by task, the way medical trainees do, with a physician accountable at every stage.

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.

The final 2027 fee schedule eases notification and quality reporting work for ACOs, but practices in accountable care still face a pay cut only Congress can reverse.

Neil Baum, MD, lays out five pre-visit planning steps that save time, cut follow-up calls and portal messages, and improve patient care.

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.

Practices face a lower conversion factor and new billing rules on Jan. 1, while group visits, coaching and ACO options open other revenue paths, according to group reaction.

CMS’ latest rule will have practice-level effects next year. Here’s what to know to get ready.

Revenue cycle consultant Taya Gordon explains what practice administrators and billing teams should do this week to prepare for Medicare's final 2027 fee schedule, from the same-day visit cut to the switch from G2211 to modifier B1.

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 Here's where outdated tech hides in a practice.

The Fifth Circuit revived a Meta Pixel class action against Eyemart, finding IIHI covers far more than prescription data. Here's why it matters.

Pear Suite CEO Colby Takeda explains how practices can partner with community health workers to help patients keep Medicaid coverage as work requirements take effect Jan. 1.

Practices face a 2.31% conversion factor cut, a 20% same-day visit reduction and new E/M modifiers starting Jan. 1.

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.

Keli Beeson of Coronis Health covers where Kentucky Medicaid behavioral health claims break down across five MCOs and how to keep them paying.

Eduardo Porras of Medusind shows how to tell timing gaps, unapplied cash and true underpayments apart, and how to recover what payers still owe.

Survey data from 1,300 physicians and administrators show where workload pressure hits hardest and how practices can put existing visit time to work.

Doral Jacobsen, MBA, FACMPE, shares case studies, targeted questions and the communication tactics behind stronger payer contract negotiations.

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

Medicare’s monthly bundled codes pay primary care for work between visits. Most practices have not tried them yet.