Resources

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, CHCDirector, Provider Education Support Artificial intelligence (AI) is reshaping documentation in emergency medicine. Voice-to-text, ambient scribing, and predictive charting can ... 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

From client presentations to RFPs, we’re asked on a near-daily basis if Ventra Health is using AI technology. I believe they are asking the wrong ... Read more

Watch the EDPMA Webinar+ “Myth Busters: Independent Dispute Resolution (IDR) Edition — Unpacking the Realities of the No Surprises Act,” presented by Ventra Health. Independent ... Read more

Watch the Becker’s Hospital Review webinar “RCM Trend Report: How Leaders Can Protect Revenue + Adapt to Disruption”. In 2026, practices face growing pressure on ... Read more

Hospital Medicine Documentation Excellence Series Welcome back to the Hospital Medicine Documentation Excellence Series. In this installment, discover how thorough comorbidity documentation impacts patient safety, care ... Read more

HITRUST Certification validates that Ventra is meeting rigorous cybersecurity and data protection standards through independent assessment and assurance Dallas, Texas, [February 12, 2026] – Ventra ... 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

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