Taking the Money Out of Medicine

'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.

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

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.

Democrats won Congress, but the Jan. 1 Medicaid work rules still stand. Here's how to budget your 2027 payer mix around what changed and what didn't.

Medicare’s monthly bundled codes pay primary care for work between visits. Most practices have not tried them yet.

The 2026-2027 respiratory season is just about here. There’s still time to vaccinate patients, experts say.