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Practice Management

The Denial Dilemma: Why Healthcare Claims Are Failing and How to Fix Them

Claim denials have grown to be more than a nuisance, as they pose a material threat to provider revenue, operational efficiency and compliance risk. For healthcare facilities, clinics and specialty providers alike, an increasing share of submitted claims are being denied, appealed or indefinitely delayed.

Practice Management

Bridging the Gap: Real-World Tools Revolutionizing Healthcare Management Education

Practice Management

Navigating Political Differences in Healthcare: Building Productive Teams in a Divided World

Practice Management

Strategies for Predictive Denial Management: Leveraging Data Analytics to Minimize Revenue Loss

Practice Management

Medicare Has Revised Its Ten-Day Claims Hold Due to the Government Shutdown

Practice Management

Will Advancements in AI Take Over My Job as a Medical Biller or Coder?

What AI excels at is data analyzation and pattern detection. A large segment of practice management/billing/EHR systems are now integrating these AI features into their software.

Practice Management

Navigating Medicaid Changes in the Big Beautiful Bill

Urgent Call to Action for Small Practices and Rural Clinics

Practice Management

HHS Publishes a Federal Register Notice on Requirements for the National Plan and Provider Enumeration System (NPPES) Data Changes

The Department of Health and Human Services (HHS) is sending this announcement to inform interested parties of the Federal Register notice that displayed on July 30, 2025, and published today, July 31, 2025 in the Federal Register.

Practice Management

Insurance Denials Are on the Rise: How Medical Practices Can Take Back Control

Running a medical practice today is more challenging than ever, largely because insurance denials and payment delays are increasing dramatically.

Practice Management

The Reimbursement Plateau: Breaking Through the Limits of Traditional RCM

Providers today face increasing pressure, especially when outdated revenue cycle management (RCM) is hindering their financial and operational performance.

Practice Management

Data Unveiled: The Impact of VBC and AI on Preventive Care and Chronic Disease Management

The conversation around chronic disease prevention remains critically important, both for ensuring patient and member health and achieving value-based care (VBC) goals of reducing healthcare costs and improving care quality.

Practice Management

The Shrinking Private Practice: Why Billing Expertise Can Be a Lifeline

As a professional in the field of medical billing and revenue cycle management (RCM), I ' ve witnessed firsthand the mounting pressure on independent physicians.

Practice Management

Foster Leadership Within Your Practice

Running a successful medical practice requires more than clinical expertise-it demands strong, strategic business management. <strong>Physician Practice Management is NOT intuitive.

Practice Management

What the CMS-DOGE Collaboration Means for Medical Billing in 2025

Picture this: the cool breeze calms the heat of the high plains sun. You're a farmer, tending crops with tenderness and dedication Then, a new government plan steps in to inspect every seed you sow and every tool you use. You might feel delayed, derailed, frustrated by the lack of freedom.

Practice Management

AGS Health® CEO Patrice Wolfe Named on the Becker's Hospital Review List of Women in Health IT to Know

AGS Health® CEO Patrice Wolfe has been named to the Becker's Hospital Review list of "Women in Health IT to Know" in 2025. The annual list recognizes women who are harnessing the power of health IT to help shape the future of the healthcare industry.