PayerView 2013 Data: Worst Payers

Hold times, delayed approvals and denials on authorized care dominated member feedback to MGMA's government affairs team.

A spreadsheet and the question ‘why?’ are enough to get started, an expert says.

MGMA is pushing back on any delay as insurers describe a three-step build.

Medicaid work requirements, new remote monitoring rules and an electronic prior authorization deadline all land Jan. 1, and that's only part of what MGMA told practice leaders to watch.

New ICD-10 codes, NCCI edits and Medicaid eligibility limits all took effect Oct. 1. Here's what practices should check this week.

A longtime MGMA analyst outlines the first area of focus to become a top performer.

CMS dropped 760,000 marketplace enrollees in a fraud sweep. Real-time eligibility checks keep the fallout from turning into denials.

A delay would leave practices without the information they need to train staff and test workflows before the deadline, the AMA told CMS.