Appeal Letter Justifying Fee Schedule as Fair and Reasonable

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

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.

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.

Patients are leaving practices without a word. Dan D’Orazio of Sage Growth Partners explains how better access and communication rebuild trust.

Neil Baum, MD, borrows a technique from acting teacher Uta Hagen: nine questions to ask yourself before you open the exam room door.

Six national physician organizations warned that claims of AI superiority undermine patient trust, putting new attention on how practices set rules for AI use by clinicians and staff.

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.