The Latest

Payers must turn on four prior authorization APIs by Jan. 1. Practices have no deadline, which is why most will get nothing from it.

Medicare's comment window on the 2027 fee schedule closes Sept. 14. Here is how to file one that CMS will actually read.

Neil Baum, M.D., on how Gloria Steinem and the women's movement reshaped who becomes a doctor, and the work medicine still has left to do.

Medicaid work requirements hit the front desk Jan. 1, 2027. What changes at check-in, in billing and when coverage lapses mid-treatment.

Neil Baum, MD, on why hydration belongs in preventive care for older patients, and the questions that find who is at risk.

You do not need a budget line to thank the people who held the schedule together this summer. Twelve ideas for Labor Day, most of them free.

Nearly 150 medical groups want CMS to fix same-day E/M overlap code by code instead of cutting payment 50 percent.

One line in a payer contract just cut 40% of a Hawaii clinic's panel.

Comments on Medicare's CY 2027 pay rule close Sept. 14. These 10 proposals will cost practices the most if they are finalized as written.

The comment window closes Sept. 14, and the same rule already previews what a coding transition looks like operationally.

CMS blocked $1.6 billion in suspect lab payments, and new rates land Jan. 1. Ten checks to run on your in-office lab first.

Most practices owing back wages never meant to. Here are the everyday pay habits that draw federal investigators and plaintiff lawyers.

Patients accept AI scribes when the conversation is handled right. What the evidence shows, plus a sample consent form.

Retirement planning is not an exit strategy. Here are the four ways physicians leave a practice and what determines which stay open to you.

HIPAA treats paid third-party access to patient records as marketing. Without a separate signed authorization, it can carry criminal penalties.

Texas SB 1318 applies to noncompetes entered or renewed after Sept. 1, 2025. The statute never defines renewal, and that is the problem.

Florida has no corporate practice of medicine doctrine and skipped the 2026 wave of transaction-review bills. What's left is the Health Care Clinic Act, a fee-splitting statute and whatever the management agreement says.

Recent changes to medical laws in the Land of Lincoln.

The AMA is pressing CMS to withdraw a proposed 50 percent cut for office visits billed the same day as a procedure.

Federal fraud flags start with peer comparison, and the first consequence is a payment hold. Here's what you need to check in your own claims data.

Fax is still the default in most practices. Here is how to retire the lines one workflow at a time, without breaking your referral pipeline.

A year after the insurer pledge, DrFirst CMO Colin Banas grades the six promises and names the Jan. 1, 2027 breaking point.

Texting is the highest-response channel in your practice and the least governed. Here are 13 rules before the FCC's 2027 deadline.

Pilot new workflows and technology with a handful of physicians first. Beta testing surfaces the problems before they get expensive.

Before buying another dashboard, run the eight reports your practice management system already generates.

Medicare wants to pay half for the lesser service on same-day claims. Our new handbook works out what modifier 25 encounters stand to lose.

Staff are pasting patient information into chatbots no one approved. Nine steps to pull that use into the open, and into compliance.

CMS's interoperability pledge just turned a year old, and the FHIR criteria are live. Here's what to ask your EHR vendor now.

More than 400 revenue cycle leaders told Inovalon which workflows send their claims back. The ranking reads as a to-do list for whoever owns the front end of the practice.

Patients size up your practice before they ever call. Eight fixes for the tools they hit first.

How to prepare for when AI changes interactions with patients, staff and vendors