A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
News|Videos|February 23, 2024
On Capitol Hill: Rep. Larry Bucshon, MD, on reforming prior authorizations, part 2
Author(s)Richard Payerchin
A congressman discusses current health care issues in Washington, D.C.
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CMS' proposed cuts to physician fees focus on the operating room. For the primary care physicians managing recovery after surgery, the real gap is much larger.
It's shared savings season and the check has arrived. Now how do physicians divide it up fairly?
From AI scribes and coding habits to the claims payers quietly cut, these are the lessons physicians can take from four days of sessions and interviews at the Medical Group Management Association's centennial meeting.
Coding scrutiny, payment gaps and a push for price caps show up across Trilliant Health's annual look at where U.S. health care is headed.
Trilliant Health's annual trends report traces primary care shortages, payment gaps and looming price caps to incentives no single stakeholder has reason to fix.
Medical Economics spoke with MGMA's Madison Hynes about the association's draft bill to ban automatic downcoding, the Patients First Act and AI-run prior authorization in traditional Medicare.
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