Who Owns the Codes Doctors Use to Get Paid?
For most medical practices, CPT codes aren’t controversial. They’re part of the daily routine. A physician performs a service, a…
When a Physician Leaves, the Revenue Doesn’t Leave All at Once
A physician resigns on Friday. The practice announces the departure, patients are notified, and the search for a replacement begins.…
Doctors Are Looking at Independence Again. But They Aren’t Going Back to the Old Private Practice.
For years, the direction of physician practice seemed fairly clear. Doctors left independent practices and moved into hospital systems, large…
The Coverage Cliff: What Happens to Your Revenue When Medicaid Patients Lose Coverage?
As Medicaid eligibility becomes more fluid, a coverage change can quickly turn into a denied claim, a patient balance, and…
Medicare Is Putting Certain Procedures Under a New Review System. Is Your Practice Ready?
For practices performing certain procedures for Original Medicare patients, a new payment checkpoint is already in place. The Centers for…
The Medicaid Coverage Churn Coming in 2027 — and What It Could Mean for Your Revenue Cycle
There’s a version of this story that reads like a Washington policy debate, and there’s another version that shows up…
CMS Wants to Reduce Administrative Burden. Here’s What Practices Will Actually Have to Change
Every year CMS releases the Physician Fee Schedule proposed rule, and every year the press release says roughly the same…
Congress Just Proposed the Biggest Rewrite of Medicare Physician Pay in a Decade. Here’s What Practice Managers Actually Need to Do About It
Three physician lawmakers introduced a bill on July 15, 2026, that could reshape the financial foundation of Medicare physician payment.…
Your Next Prior Authorization Decision May Be Made by AI. Should Practice Managers Be Worried?
Prior authorization has always been the most quietly hated word in a physician’s office. It is the fax that never…
Is Your Patient Seeing a Therapist — or an AI? The Healthcare Policy Battle Nobody Can Ignore
Her name was Emilie. She said she was a doctor of psychiatry, licensed in Pennsylvania, and she gave patients a…