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

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

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.

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

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.

Insurer exits and network splits will change Medicare Advantage coverage for many patients on Jan. 1. Here's how practice leaders can prepare in every state.

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

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