Collections Letter 1

States are limiting AI in coverage decisions. How billing teams can cite the laws on appeal, and why self-funded plans fall outside them.

Premiums are climbing far faster than physician pay. Here's how independent practices can build the case for higher payer reimbursement rates.

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.

Practice bankruptcies are climbing. Here's what owners should plan for, from warning signs to a patient care ombudsman to who keeps patient records.

The Kirksville center's grant comes as Missouri practices rework maternity billing, staffing and pay plans for Jan. 1.

Frequently asked questions about differentiating the CMS and AMA code sets.

A former congressman and hospital and medical school advocacy leaders outline which federal health programs could shift in a divided Washington.

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.