Where Did Three Million Patients Go?
Explore how Medicaid coverage losses affect millions of patients, healthcare providers, and reimbursement, and what coverage changes mean for patient access to care.
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Building the Battlements: Strengthening Our Defense Against Cyberattacks
Explore proposed federal healthcare cybersecurity requirements, including security standards, risk assessments, independent audits and penalties for noncompliance.
Who’s in Your OR?
Discover how operating room staffing, surgical workflows, and revenue management impact financial performance and reimbursement for healthcare providers.
Why Revenue Gets Stuck: Finding the Operational Breakdowns That Delay Payment
Revenue cycle problems do not always come from one major failure. More often, payment is delayed by smaller operational breakdowns that happen across billing…
When the Transparent is Not Apparent: Mixed Reviews for Hospital Transparency Compliance
A new PRA report finds only 49.4% of 2,000 hospitals fully comply with the price transparency rule as CMS begins enforcing the 2026 OPPS…
An Incidental Matter: Reviewing the Intricacies of Incident to Billing
Medicare incident to billing explained: established patients, care plans, direct supervision, virtual presence and documentation tips to reduce audit risk.
Joint Replacement Model: It’s All Coming Together
The FY 2027 IPPS final rule launches CJR-X, a mandatory nationwide episode-based payment model for hip, knee and ankle replacements starting January 1, 2028.
Beyond the ASA Code: Why Capturing CPT Codes First Creates Better Data, Stronger Compliance and Greater Revenue Protection
Why anesthesia groups should capture the surgical CPT code before crosswalking to the ASA code to improve analytics, audit readiness and revenue integrity.
2027 IPPS Final Rule: Quality Programs – Part II
For the last couple of weeks, we have brought to our readers the major highlights of Medicare’s Inpatient Prospective Payment System (IPPS) final rule…
Considering the Alternative: Behind the Push for Alternative Payment Models
Learn how Advanced APMs and ACOs offer anesthesiologists an alternative to MIPS, including QP thresholds, incentive payments and 2027 Shared Savings changes.
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