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Author: Jamie Shoemaker, MD, FACEP

Doc-to-Doc Series: Leveraging AI to Defend Just Reimbursement and Strengthen RCM Performance  

May 30, 2026April 6, 2026

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

Tags Doc-to-Doc Blog Series, Hospital & Health System Resources

The Quiet Erosion: How Insurers Use Downcoding to Undermine Physician Reimbursement and Patient Care 

May 30, 2026January 5, 2026

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 

May 30, 2026December 30, 2025

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

Tags Doc-to-Doc Blog Series

Doc-to-Doc Series: The Undermining of Emergency Medicine: Insurer Tactics, the Fragile Safety Net, and the Fight for Just Compensation 

May 30, 2026November 24, 2025

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

Tags Doc-to-Doc Blog Series

Doc-to-Doc Series: New Legislative Impacts on Facility-Based Physicians

May 30, 2026July 17, 2025

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

Tags Doc-to-Doc Blog Series

Doc-to-Doc Series: Is Emergency Medicine in the US Stable? Insights from the RAND Study

June 25, 2026June 4, 2025

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

Tags Doc-to-Doc Blog Series, Emergency Medicine Resources, RAND Report Resources

Doc-to-Doc Series: The Impact of Forced Consolidation of Emergency Medicine Groups 

May 30, 2026April 30, 2025

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

Tags Doc-to-Doc Blog Series, Independent Practice

Becker’s Hospital Review: 4 Bad Payer Behaviors Impacting Reimbursement

June 29, 2026February 12, 2025

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

Tags Anesthesia Resources, Radiology Resources

Outsourcing Billing and Coding: Maximizing Revenue for Hospitals and Emergency Physicians 

July 1, 2026November 18, 2024

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

May 30, 2026October 17, 2024

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

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