Sisyphus, MD

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.

States are limiting AI in coverage decisions. How billing teams can cite the laws on appeal, and why self-funded plans fall outside them.

UnitedHealth says No Surprises Act arbitration awards are its biggest cost pressure. What practices that use IDR should document now.

MGMA poll: 63 percent of groups are adding revenue cycle automation as payers push harder, and the EHR is the first place to look.

Practice bankruptcies are climbing. Here's what owners should plan for, from warning signs to a patient care ombudsman to who keeps patient records.

A former congressman and hospital and medical school advocacy leaders outline which federal health programs could shift in a divided Washington.