Reimbursement headaches

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.

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

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

Heel pain gets laterality, BRCA gets its own code and liver fibrosis gets a middle stage. These are the FY 2027 additions your physicians will reach for.

MGMA's Anders Gilberg says few practices have heard from EHR vendors about the Jan. 1 prior authorization API deadline.

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

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

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