Sisyphus, MD

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.

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

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.

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

Three big payers are moving to shared credentialing through CertifyOS. What it could fix for practices and what it leaves on your desk.

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