PayerView 2013 Data: Worst Payers

Democrats won Congress, but the Jan. 1 Medicaid work rules still stand. Here's how to budget your 2027 payer mix around what changed and what didn't.

'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.

Practices face a 2.31% conversion factor cut, a 20% same-day visit reduction and new E/M modifiers starting Jan. 1.

Two Medicare fraud cases, one over Botox and one over COVID-19 test kits, map the chart and claims gaps practices should audit now.

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