Reimbursement

Fixing the billing problem isn’t just about collecting more money. It’s about restoring trust and predictability to the business of care.

Our 96th annual Physician Report, released in August, features exclusive data on physician compensation, practice financial health and more.

Laying the foundation for coding success for incident-to billing.

Navigate complex Medicare rules and payer requirements to protect your practice from audits and maximize reimbursement

The burden to justify value is being shifted from the insurer to the provider.

New JAMA analysis tracks employer-sponsored insurance, wages and inflation from 1999 to 2024.

A slideshow introduction to the Z codes around patient conditions outside the exam room.

A slideshow primer based on updated guidance from CMS.

Money for doctors, quick turnaround, policy changes — and even excitement?

Top CMS policymakers outline benefits to primary care for Medicare spending next year.

Here’s how direct contracting can unlock faster cash flow, lower costs and lasting partnerships with employers.

Advocacy groups issue praise, some questions for next year’s physician payment rule.

Organizations react to CMS’ plan for physician payment next year.

CMS announces changes to ‘deliver better outcomes for patients’ while safeguarding funds.

With denials cutting deeper into practice revenue, physicians are turning to AI-driven tools to catch errors before submission, automate appeals and reduce administrative burnout.

To sustain Medicare Advantage, payers and providers must rebuild collaboration through transparency and standardization.

With denials cutting deeper into practice revenue, physicians are turning to AI-driven tools to catch errors before submission, automate appeals and reduce administrative burnout.

Strategies for organizations to navigate CMS's decision to fast-track risk adjustment audits.

With denials cutting deeper into practice revenue, physicians are turning to AI-driven tools to catch errors before submission, automate appeals and reduce administrative burnout.

With denials cutting deeper into practice revenue, physicians are turning to AI-driven tools to catch errors before submission, automate appeals and reduce administrative burnout.

With denials cutting deeper into practice revenue, physicians are turning to AI-driven tools to catch errors before submission, automate appeals and reduce administrative burnout.

HHS Office of Inspector General is tracking the huge increase in spending, with a call to action for possible payment reform.

A regional inspector general for the U.S. Department of Health and Human Services explains oversight of a multi-billion-dollar trend in Medicare spending.

A regional inspector general for the U.S. Department of Health and Human Services explains oversight of a multi-billion-dollar trend in Medicare spending.

A regional inspector general for the U.S. Department of Health and Human Services explains oversight of a multi-billion-dollar trend in Medicare spending.