Appeal Letter for Claims Denied for Not Using Designated Provider

Overhead ratio, days in A/R and the owner draw explain why a practice can collect more than last year and still come up short on payroll.

A new HHS delegation lets CMS bar practices from Medicare and Medicaid, and no guidance says how it will share that power with OIG in settlements.

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

Heal 360's $20 million settlement over swabs billed as full office visits shows how scribe and template notes can expose any practice.

CMS' 2027 fee schedule proposal would pay for RPM and RTM only when practice employees do the work. Here's what practices should review now.

Former Integrated Medical Services CEO Monique Delgado explained how practice leaders can build performance-based physician pay with physicians at the table and why the work starts with the practice's own finances.

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.