Value-based care this year

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

Practices face a 2.31% conversion factor cut, a 20% same-day visit reduction and new E/M modifiers starting Jan. 1.

Two Medicare fraud cases, one over Botox and one over COVID-19 test kits, map the chart and claims gaps practices should audit now.

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.

The federal checklist behind your EHR shrinks Dec. 28. Lock down your contract, MIPS reporting and referral workflows while you have leverage.

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

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

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.