Reimbursement headaches

Taya Gordon says education, appeals and payment alerts top the to-do list before Medicare's 2027 same-day and G2211 changes hit Jan. 1.

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

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

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.

WISeR cut targeted services 15 to 20 percent in six states. These fixes protect your volume, your claims and your patients' place in line.

The Kirksville center's grant comes as Missouri practices rework maternity billing, staffing and pay plans for Jan. 1.