Appeal Letter Justifying Emergency Treatment

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.

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.

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

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