Platform enables providers to improve first-pass payment rates by 19%, reduce initial denial rates by 26%, and accelerate millions in delayed reimbursement through nine AI-powered … Read more
Overview: Alaska Radiology Associates & Imaging Associates of Alaska Few would think of a radiology practice as the happiest place on Earth, but these two come … Read more
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
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
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Final 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) Final Rule, which includes updates to the Quality … Read more
The 2026 CMS Final Rule is out, bringing confirmed updates that will shape reimbursement, compliance expectations, and MIPS performance requirements in the year ahead. Ventra … Read more
The Centers for Medicare and Medicaid Services (CMS) recently released the CY 2026 Physician Fee Schedule (PFS) Final 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) Final Rule, which includes updates to the Quality … Read more
As providers head into 2026, shifting regulations, disruptive payer tactics, rising patient financial strain, and rapidly evolving AI tools are reshaping the revenue cycle. Independent … Read more
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
On October 31, 2025, CMS released the CY 2026 Physician Fee Schedule (PFS) Final Rule. Below is a summary of the most relevant updates impacting … Read more
Dr. Jason Greenberg, Ventra’s EVP and Chief Commercial Officer, and Shena Scott, MBA, FACMPE, CEO of Scott Healthcare Consulting, were live in the TopMedTalk booth … Read more
Every October 1 marks an important milestone for healthcare organizations—the release of annual ICD-10-CM code updates. The 2026 updates introduce a mix of revisions, brand-new … Read more
Sometimes, the most difficult part of a physician practice leader’s job is not facility relationships, compliance, or even billing and reimbursement. It’s medical group governance. … Read more
Hospital Medicine Documentation Excellence Series In this installment of our Hospital Medicine Documentation Excellence Series, Nettie McFarland, RHIT, CCS-P, CHC, shares best practices for using … Read more
Key Considerations for Healthcare Leaders Artificial intelligence is no longer a distant concept in healthcare—it’s actively reshaping how medical practices operate. With adoption up 78% … Read more
We are excited to share the highlights from ACEP Scientific Assembly 2025 in Salt Lake City. Our leaders had insightful discussions and gathered valuable information … Read more
Overview: Mt. Rainier Emergency Physicians and Western Washington Emergency Physicians With a staff of 65 physicians and 55 mid-level providers, Mt. Rainier Emergency Physicians (MREP) … Read more
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
Overview: Orthopedic Institute of Pennsylvania (OIP) Residents of central Pennsylvania know where to go when they tear an ACL during a game or need relief … Read more
The 2026 CMS Physician Fee Schedule Proposed Rule is here, bringing important updates to reimbursement policies and the Merit-based Incentive Payment System (MIPS). These changes … 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
