PayerView 2013 Data: Major Payers

'Not covered' is now the top denial reason, and UnitedHealthcare's pediatric code lists don't match. Run these checks before Dec. 1.

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.

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.

Medicare’s monthly bundled codes pay primary care for work between visits. Most practices have not tried them yet.

The 2026-2027 respiratory season is just about here. There’s still time to vaccinate patients, experts say.

The 2nd and 5th circuits won't let providers sue over unpaid IDR awards. Here are the routes left and how to reserve for money that may never come.

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