A spreadsheet and the question ‘why?’ are enough to get started, an expert says.

New ICD-10 codes, NCCI edits and Medicaid eligibility limits all took effect Oct. 1. Here's what practices should check this week.

Hold times, delayed approvals and denials on authorized care dominated member feedback to MGMA's government affairs team.

MGMA is pushing back on any delay as insurers describe a three-step build.

Three big payers are moving to shared credentialing through CertifyOS. What it could fix for practices and what it leaves on your desk.

CMS dropped 760,000 marketplace enrollees in a fraud sweep. Real-time eligibility checks keep the fallout from turning into denials.

Heel pain gets laterality, BRCA gets its own code and liver fibrosis gets a middle stage. These are the FY 2027 additions your physicians will reach for.

Don't 'throw everything at it' before examining reasons why patients don't arrive for treatments.