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.

MGMA acting CEO Akash Madiah on what members need, what the association must fix and how administrators can stop revenue leaks now.

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.

Four Oct. 29 sessions cover supplemental pay, payer contracts, Kentucky Medicaid and workload pressure for physicians and administrators.

From payer contract homework to a 15-minute morning huddle, these are the moves practice administrators can make after four days of sessions and interviews at MGMA's centennial meeting.

An IDR win isn't a check. Payers have 30 days to pay, courts won't force them to and CMS admits awards are slipping through.

How not to be the administrator who says, I didn't see that coming