Jamie Shoemaker, MD, FACEP
Doc-to-Doc Series: Leveraging AI to Defend Just Reimbursement and Strengthen RCM Performance
By Jamie Shoemaker, MD, FACEP When deployed thoughtfully in revenue cycle management (RCM), AI is not about replacing clinicians or coders—it’s about defending the care ... Read more
The Quiet Erosion: How Insurers Use Downcoding to Undermine Physician Reimbursement and Patient Care
Co-Authored By: As an emergency physician, healthcare revenue experts, and a team deeply engaged in the world of reimbursement and physician advocacy, we’ve seen firsthand ... Read more
Doc-to-Doc Series: Why Anthem’s New Facility Policy Raises Red Flags Under the No Surprises Act
By Jamie Shoemaker, MD, FACEP Anthem Blue Cross Blue Shield (part of Elevance Health) has finalized a Facility Administrative Policy: Use of a Nonparticipating Care Provider, ... Read more
Doc-to-Doc Series: The Undermining of Emergency Medicine: Insurer Tactics, the Fragile Safety Net, and the Fight for Just Compensation
By Jamie Shoemaker, MD, FACEP Emergency physicians serve on the front lines of America’s healthcare safety net, providing essential, life-saving care to anyone at any ... Read more
Doc-to-Doc Series: New Legislative Impacts on Facility-Based Physicians
What You Need to Know By Jamie Shoemaker, MD, FACEP The recently introduced “One Big Beautiful Bill Act” brings sweeping changes to Medicaid, Medicare, the ACA, student ... Read more
Doc-to-Doc Series: Is Emergency Medicine in the US Stable? Insights from the RAND Study
By Jamie Shoemaker, MD, FACEP The RAND report is a pivotal milestone in shaping the future of Emergency Medicine, offering critical insights into the challenges, ... Read more
Doc-to-Doc Series: The Impact of Forced Consolidation of Emergency Medicine Groups
By Jamie Shoemaker, MD, FACEP Healthcare is not just a profession—it is a business. And in the business of healthcare, scale matters. Independent emergency medicine ... Read more
Becker’s Hospital Review: 4 Bad Payer Behaviors Impacting Reimbursement
Reimbursement challenges for facility-based physician groups continue to grow. Payers are increasing claim denials, complicating provider enrollment, and failing to honor negotiated contracts, making it ... Read more
Outsourcing Billing and Coding: Maximizing Revenue for Hospitals and Emergency Physicians
By Jamie Shoemaker, MD, FACEP Hospital-employed emergency physicians are navigating complex financial pressures while they strive to deliver high-quality patient care. One area ripe for ... Read more
The Critical Role of Physician Advocacy in Combating Insurer Abuses and Protecting Emergency Care
By Jamie Shoemaker, MD, FACEP A Note From Jamie This is my first blog with Ventra Health, so I’d like to take a moment to ... Read more
2024 ACEP Scientific Assembly Recap: Onsite Discussions and Insights
By Darshan Patel, President, Emergency Medicine and Hospital Medicine and Jamie Shoemaker, MD, Emergency Medicine Strategic Advisor Ventra Health recently attended ACEP SA 2024 in ... Read more
