States are limiting AI in coverage decisions. How billing teams can cite the laws on appeal, and why self-funded plans fall outside them.

Most Medicaid improper payments trace to missing paperwork, not fraud. These nine checks close the gaps auditors keep finding.

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.

How practice managers can fend off two cybersecurity incidents: a critical flaw in widely used website code and a breach of a Quest lab portal.

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.

Practice bankruptcies are climbing. Here's what owners should plan for, from warning signs to a patient care ombudsman to who keeps patient records.

Neil Baum, MD, weighs the 10 benefits and eight risks data centers bring to physicians as the facilities spread across rural America.

The Kirksville center's grant comes as Missouri practices rework maternity billing, staffing and pay plans for Jan. 1.