Blog

By Jason Greenberg, MD  Edging out poor commercial payer behavior and the continuous issue of declining Medicare reimbursement rates, the workforce crisis is now considered ... Read more

The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule, which includes updates to the Quality ... Read more

The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule, which includes updates to the Quality ... Read more

The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule, which includes updates to the Quality ... Read more

The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule, which includes updates to the Quality ... Read more

Effective July 1, 2025, CMS has updated its Procedure-to-Procedure (PTP) Edits, impacting billing practices for thoracic fascial plane blocks. Under these revisions, thoracic fascial plane ... Read more

On July 14, 2025, CMS released the CY 2026 Physician Fee Schedule (PFS) Proposed Rule. Below is a summary of the most relevant updates impacting ... Read more

Independent anesthesia practices are navigating one of the most volatile healthcare landscapes in decades. Declining Medicare reimbursements, increasing provider shortages, and high burnout rates are ... Read more

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

In their July 2025 Reimbursement Policy Update, United Healthcare (UHC) announced that they will implement a 15% reduction in reimbursement on Anesthesia Professional claims submitted ... Read more

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

Accurate billing and documentation of ultrasound and fluoroscopic guidance require adherence to established guidelines. Whether the procedure is vascular or non-vascular, it is essential to ... Read more

Among even the most complicated physician specialties, Radiology tops the list for Revenue Cycle Management (RCM) complexity. High volumes are coupled with an extraordinarily complex ... Read more

The year 2025 has brought significant changes to the pain management coding world. With the addition of CPT codes 64466-64469 and 64473-64474, providers now have ... Read more

Every facility-based physician specialty faces specific challenges that make its revenue cycle management (RCM) unique. Radiology experiences nearly all of those challenges, plus a few ... Read more

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

Concurrency involves the practice of documenting overlapping medical services. In the anesthesia industry, a concurrency is created when an anesthesia provider, such as an anesthesiologist, ... Read more

Rapid-fire regulatory changes and funding cuts at the federal level are creating uncertainty around Medicare and Medicaid reimbursement. Many clients are asking us what these ... Read more

The Challenge: From FDA Clearance to Getting Paid  At Ventra Health, we are committed to delivering cutting-edge insight into the evolving intersection of artificial intelligence ... Read more

By Nettie McFarland, RHIT, CCS-P, CHC, Director of Provider Education  Clinical documentation serves many purposes, supporting everything from risk management and medicolegal review to coding ... Read more

The Centers for Medicare and Medicaid Services (CMS) recently released the final rule for the 2025 Quality Payment Program (QPP). This rule outlines the participation ... Read more

The Centers for Medicare and Medicaid Services (CMS) recently released the final rule for the 2025 Quality Payment Program (QPP). This rule outlines the participation ... Read more

“A rigid, one-size-fits-all approach usually ends up fitting no one.” — Patrick Lencioni, The Advantage: Why Organizational Health Trumps Everything Else in Business Business consultant ... Read more

A groundbreaking study by the RAND Corporation, funded by ACEP’s EMPI, analyzing over 50 million emergency department (ED) professional claims across four years reveals an ... Read more

Key Highlights and Take-Aways By Sarah Herzog, President, Radiology Business Unit and Jennifer Bash, RHIA, CIRCC, RCCIR, CPC, RCC, CANPC, Director of Coding Education We are ... Read more

A thorough and accurate clinical history is essential to the radiologist interpreting an exam-both from a patient care perspective and for billing and compliance purposes. ... Read more

Emergency Departments operate in high-pressure environments that present unique challenges from a billing and coding perspective. The combination of unpredictable patient volumes, high-acuity cases, and ... Read more

By Jason Greenberg, MD, EVP and Chief Commercial Officer, Angie Knight, President, Anesthesia, and Steve Avery, Chief Growth Officer We wanted to take a moment ... Read more

By Kirk Reinitz Strategic Advisor for Radiology Once rare, this financial tool is an emerging approach to maintain appropriate radiologist staffing levels. A perfect storm ... Read more

The American Medical Association (AMA) estimates that billing errors cost practices $36 billion annually from lost revenue, denied claims, and potential fines. Anesthesia, with its ... Read more