Cutting Through Payer Bureaucracy

From payer contract homework to a 15-minute morning huddle, these are the moves practice administrators can make after four days of sessions and interviews at MGMA's centennial meeting.

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.

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

How not to be the administrator who says, I didn't see that coming

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

Here's a video primer on forming your practice's approach to technology in the age of AI

UnitedHealth says No Surprises Act arbitration awards are its biggest cost pressure. What practices that use IDR should document now.

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.