Practice Finance

Tired of watching patients crushed by opaque hospital billing, Keith Smith, M.D., built a free-market surgery center where transparency, affordability and physician autonomy come first.

Four areas every physician should evaluate before selling their practice

The administrative burdens of running a practice, from HR to billing to compliance, aren't part of delivering care.

Compensation climbed to record levels in 2025, fueled by supply-demand imbalances and new expectations among younger physicians.

Jason Jobes of Norwood explains how practices can balance revenue maximization with compliance as regulators intensify audits and scrutiny over coding accuracy.

Jason Jobes of Norwood shares why mastering data interpretation is key to driving performance and reimbursement under VBC.

Jason Jobes of Norwood outlines why taking the right amount of financial risk — and investing in infrastructure — is essential for practices transitioning to VBC.

David Tawes, M.A., regional inspector general at HHS-OIG, joins the show to discuss Medicare’s $15 billion skin substitute boom, fraud risks and how policymakers aim to curb abuse without limiting patient care.

A revised CMS notice late on Oct. 15 said claims for Physician Fee Schedule and other payment programs will be processed and paid in a timely manner. The exceptions are claims for programs that have expired, such as telehealth flexibilities.

Jason Jobes of Norwood explains why the move toward value-based care is both necessary and challenging — and what physician practices can do to prepare.

AI offers much potential, but do physicians trust it to solve the prior authorization problem?

Explore these essential financial indicators and strategies for successfully expanding your medical practice while avoiding common pitfalls.

Three buckets to consider for your investment policy statement

Michael Blackman, M.D., MBA, says the return on AI in health care isn’t just financial — it’s also about quality and efficiency.

Andrew Swanson, M.P.A., FACMPE, chief revenue officer at MGMA, joins the show to talk about the pressures facing practices, from shrinking reimbursements to rising costs.

MGMA Leaders Conference session underscores link between pay models, burnout and culture.

At the MGMA Leaders Conference 2025 in Orlando, speakers outlined how “agentic AI” — adaptive, goal-driven automation — could transform revenue cycle workflows, from prior authorizations to collections, while cautioning practices to separate real solutions from hype.

Navigating the sale of a medical practice involves crucial tax strategies that maximize after-tax proceeds and ensure a successful financial transition.

Direct primary care can transform rural health care and empower physicians to provide personalized care.

From automation to analytics, physicians can use these strategies to reduce stress and sharpen efficiency.

Health Care Cost Institute analysis highlights shrinking investment, wide state variation and sharper rural reliance on primary care.

A study of more than 3 million Medicare Advantage beneficiaries shows patients in value-based, senior-focused primary care organizations see their physicians more often and with greater continuity than those in fee-for-service settings.

A JAMA viewpoint argues new reimbursement policies may deliver long-sought revenue to primary care, though uptake, staffing and fee cuts elsewhere cloud the outlook.

Doug Marcey, CTO of Coronis Health, breaks down where AI fits into revenue cycle management — and why the right processes need to come first for automation to truly deliver results.

Sticker prices rarely tell the full story. Here’s what independent practices should know before investing in a billing platform.