Billing and Collections

Medicare’s G2211 code has a critical design flaw by applying a primary care fix to specialty care

Medicare spends $1.1 trillion a year — or misspends it, depending on this analysis of incentives and outcomes.

A panel of revenue cycle leaders at the MGMA Summit Digital Conference outlined where patient billing is headed and why physicians should pay attention.

Insurers and federal officials say prior authorization is moving into the digital age. Physicians are still waiting to see whether the burden actually drops.

AMA survey finds prior authorizations are killing physician trust in insurers, along with patient care.

A new American Medical Association survey ranks the country's largest commercial health insurers by the prior authorization burden they impose on physician practices.

Though surcharging seems like an easy solution to capture lost revenue, practices often overestimate the ease of implementing it into their payment system.

Medicare Advantage accounts for three of the top five administrative burdens facing medical groups, and nearly 95% of practices say the regulatory load has grown over the past three years, according to MGMA's 2026 Regulatory Burden Report.

Claim denials are a huge problem for physicians and hospitals. The solution is found in rethinking data and workflow

Physicians who signed on during implementation and never revisited their plan may be paying for tools they've never opened.

The best use of artificial intelligence will not be the fastest use of AI. First, understand where it really matters

The tax code offers more opportunities than many practice owners realize. Some are obvious. Others are easy to miss.

Understanding Medicare's strict physical presence requirements can save your practice from costly compliance violations

Shannon Sumner, CPA, CHC, of PYA walks through the compliance risks practices can't afford to ignore and what to do before investigators come knocking.

Analysis from Third Way shows Republican voters carry larger average medical debt balances.

Arrow CEO Roshan Patel explains why health care practices struggle to get paid by insurers—and how emerging technology is helping solve billing denials, prior authorization headaches, and revenue cycle challenges

New AI tools, fraud protection, and patient financing options can help you collect payments faster and reduce claim denials by up to 25%

Health care payments are complex for a variety of reasons, but AI and other automation tools might help boost efficiency.

Health care payments are complex for a variety of reasons, but AI and other automation tools might help boost efficiency.

Health care payments are complex for a variety of reasons, but AI and other automation tools might help boost efficiency.

How holistic credit decisioning offers an innovative approach to financial assessment

Congress' new spending plan extends key Medicare telehealth flexibilities through the end of 2027.

Rihan Javid, D.O., J.D., explains how unfilled roles quietly push refills, authorizations and even billing back onto physicians.

Is your practice vulnerable to payment processing fraud and chargebacks?

Is your practice vulnerable to payment processing fraud and chargebacks?