Blog

Strategy, AI, and the New Economics of Radiology  RBMA Paradigm 2026 brought radiology leaders together at a moment when the industry is facing rapid acceleration—of ... Read more

The Centers for Medicare & Medicaid Services (CMS) has proposed a 0.09% increase in Medicare Advantage (MA) payments for 2027, amounting to over $700 million ... Read more

Managing joint vs. non‑joint uncertainty at the time of ordering Accurate MRI authorization starts with a clear understanding of what is being imaged. For upper ... Read more

Continuing from last month’s Telemedicine Tips, which included guidance and resources, this month’s focus shifts toward the appropriate documentation for prolonged telemedicine visits. While telemedicine ... Read more

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

By Jessica Carden, PESC Senior Director, Provider Enrollment One of the most important trends in Medicaid today is the continued growth of Managed Medicaid enrollment. In ... Read more

Anesthesia practices operate in some of the most operationally complex billing environments in healthcare. They face high patient volumes, time-based billing requirements, detailed documentation standards, ... Read more

Congress passes spending bill, extended Telehealth Flexibilities  Congress has extended the expiration dates for certain telehealth flexibilities from Jan 30, 2026, to Dec 31, 2027 (unless otherwise stated), as follows:  ... Read more

By Nettie McFarland, RHIT, CCS-P, CHC Director, Provider Education Support Artificial intelligence (AI) is reshaping documentation in emergency medicine. Voice-to-text, ambient scribing, and predictive charting ... Read more

Comprehensive documentation is essential to demonstrating medical necessity in today’s evolving regulatory environment. Incomplete or nonspecific clinical detail can lead to denials, rework, delayed payments, ... Read more

Although the principal surgeon oversees the patient’s case, assistant surgeons may be necessary when the procedure or patient’s condition is complex. The assistant surgeon performs ... Read more

By Rachel McVey, MBA, CPMSM, CPCO, CHCSenior Director, Provider Enrollment In January 2026, the Council for Affordable Quality Healthcare (CAQH), the central provider data platform ... Read more

As the dust settles on 2026 ASA ADVANCE in Las Vegas, we’re energized by the conversations and strategic insights shared by hundreds of anesthesia physician leaders. Across sessions and hallway discussions, ... 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 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

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

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

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

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

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