Medical Economics

JULY 24, 2025

Reynolds Key Takeaways UnitedHealth is cooperating with DOJ investigations into its Medicare Advantage billing practices, focusing on diagnoses that increased federal payments. Department of Justice (DOJ) into its Medicare billing practices. They are also facing DOJ antitrust scrutiny over their $3.3

Billing

EvidenceCare

MARCH 18, 2025

In this special edition of The Better Care Podcast , EvidenceCares Co-Founder & Chief Medical Officer, Dr. Brian Fengler, brought together digital health executives to learn about the challenges theyre tackling and the solutions that are shaping the future. Some quotes have been lightly edited for clarity and brevity.

Discharges

The HIPAA Journal

MAY 21, 2025

Biggest Healthcare Data Breaches in April 2025 In April, 27 data breaches of 10,000 or more records were reported to OCR, including 11 data breaches of 100,000 or more records. Hackers exploited vulnerabilities in its PACS and gained access to sensitive patient data and medical images.

Business Associate

Health Prime

DECEMBER 11, 2024

Being so close to the New Year, it is of high importance that your medical practice finishes its medical billing in good time. This will go a long way toward your medical practice’s financial health and operational efficiency. Training of your team: Keep your billing team updated about any modifications or changes.

Billing

Physicians Practice

JULY 16, 2025

Reynolds Fact checked by Chris Mazzolini Blog Article Structured onboarding programs enhance job satisfaction and retention, boosting productivity and improving patient experience in medical practices. A revolving door of medical assistants, billers and front-desk coordinators drains productivity and fractures patient experience.

Billing

Arkenea

JULY 23, 2025

trillion in annual transactions, yet billing inefficiencies cost hospitals an estimated $262 billion each year. At the heart of this challenge lies the complex world of billing in hospital management systems, where accuracy, compliance, and efficiency determine the financial viability of healthcare organizations worldwide.

Billing

Physicians Practice

JULY 8, 2025

Reynolds Fact checked by Chris Mazzolini Blog Article Discover effective strategies to reduce overhead costs in medical practices without layoffs, enhancing staff morale and improving patient care. Rent, supplies and payroll devour well over half of every medical practice’s budget, and each line item is getting fatter.

Billing

The HIPAA Journal

JULY 21, 2025

A small medical practice in Alpharetta, Georgia, has been forced to close its doors due to a ransomware attack. Alpha Wellness and Alpha Medical Centre detected unusual network activity on February 3, 2025, and immediately launched an investigation. RansomHub ceased operations on March 3, 2025. “We

Medication

Medical Economics

JUNE 9, 2025

A survey from Propel Software provides insight into growing consumer expectations for medical devices and how manufacturers must adapt. The findings suggest consumers are no longer passive users of medical technology—they want transparency, support, and continual improvements. Here are the findings. Based on feedback from 2,000 U.S.

Medication

Medical Economics

JUNE 25, 2025

Enter into this climate two emerging payment approaches that are gaining traction: the pay‑first model, which collects copays, deductibles and any postvisit balances up front, and the direct primary care (DPC) model, which replaces fee‑for‑service billing with a flat subscription fee for primary care services.

Patient Experience

Medical Economics

JULY 25, 2025

After two decades in the medical billing industry, we’ve seen too many trustworthy physicians get blindsided by audit requests, scrambling to gather documentation while trying to understand what went wrong. © natali_mis - stock.adobe.com Audits are inevitable. The same red flags appear again and again.

Documentation

The HIPAA Journal

JULY 20, 2025

There was a sizeable increase in the number of individuals affected by healthcare data breaches, which increased by 302% from May 2025. Sharp HealthCare and Sharp Community Medical Group chose to report the breach themselves, which adds another 27,000 individuals to the total. The median data breach size over the past 12 months is 4.7

Business Associate

Health Prime

JANUARY 15, 2025

Revenue cycle management (RCM) challenges are constant in the healthcare industry, and 2025 will be no exception. At Health Prime , our billing experts compiled a list of the top four RCM challenges healthcare businesses face in 2025 and some strategies for addressing some strategies to address them effectively. 1.

Billing

The HIPAA Journal

JULY 8, 2025

On March 22, 2025, Compumedics identified unauthorized access to its network which disrupted the operations of its information technology systems. They confirmed that an unauthorized third party had access to its systems between February 15, 2025, and March 23, 2025, during which time files were copied from its systems.

HIPAA

CollaborateMD

APRIL 3, 2025

Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice.

Billing

Health Prime

DECEMBER 18, 2024

Running a successful medical practice requires more than providing excellent patient care. Reports are a great data-driven means of benchmarking the performance of specific processes or functions within your medical practice. Five essential reports every medical practice should run 1.

Medication

Medical Economics

JULY 15, 2025

health care system are affecting access to and affordability of even basic medical care, especially for historically marginalized populations. In the latest study, Horný and co-author Alex Hoagland, a health economist at the University of Toronto, analyzed 51,299 denied claims for medical services provided to U.S.

Insurance

Mobius MD

JANUARY 1, 2025

However, managing a successful medical practice in 2025 will require lots of work beyond the EMR. Knowing the right medical practice software tools – for scheduling, documentation, clinical decision support, and more – will make your life much easier.

Medication

Physicians Practice

JULY 15, 2025

About the P2 Management Minute The P2 Management Minute is a fast-paced video micro-series from Physicians Practice that distills proven management strategies into bite-size, one-minute episodes for busy medical practice administrators and lead physicians. Let’s collaborate to make every minute count for the medical community.

Billing

Physicians Practice

JULY 31, 2025

About the P2 Management Minute The P2 Management Minute is a fast-paced video micro-series from Physicians Practice that distills proven management strategies into bite-size, one-minute episodes for busy medical practice administrators and lead physicians. Let’s collaborate to make every minute count for the medical community.

Billing

Medical Economics

AUGUST 1, 2025

Reynolds A physician and health care attorney breaks down the American Law Institute’s recent restatement of the law of medical malpractice. To better understand what this means for physicians and their day-to-day decision-making, Medical Economics sat down with Daniel Aaron, M.D., Daniel Aaron, M.D., Daniel Aaron, M.D.,

Medication

Medical Economics

JUNE 30, 2025

Future Steps in Documentation and Efficiency (00:13:49) Considers whether agent AI can further automate tasks like billing and multi-step processes. Related Videos Related Content Advertisement June 26th 2025 To really make AI useful, health systems should rethink how they use data, researchers say May 27th 2025 Ep. Singer, M.D.

Diagnostics

Health Prime

DECEMBER 18, 2024

Running a successful medical practice requires more than providing excellent patient care. Reports are a great data-driven means of benchmarking the performance of specific processes or functions within your medical practice. Five essential reports every medical practice should run 1. At Health Prime, we can help!

Medication

Physicians Practice

JUNE 9, 2025

of Roetzel & Andress June 9, 2025 By Austin Littrell Fact checked by Keith A. a health care attorney with Roetzel & Andress, joins the show to explore the legal risks of prescribing GLP-1 medications. Austin Littrell June 2nd 2025 Podcast Tom Price, M.D., 68: Hidden risks of prescribing GLP-1 drugs with Ericka L.

Billing

Physicians Practice

AUGUST 1, 2025

Run a denial-management machine Track every denial in your billing software: reason, appeal status, resolution date. Reynolds Fact checked by Chris Mazzolini Blog Video Stop losing revenue to claim rejections with these three proven strategies to combat payer denials in this quick P2 Management Minute.

Billing

Health Populi

DECEMBER 30, 2024

The 2025 convening of CES (once known as the Consumer Electronics Show) in Las Vegas officially kicks off on 7 January 2025. More granularly, Ill be looking into Sleep-tech: The square footage of CES convention floor space devoted to sleep has been significant and visible, with 2025 growing new products and sleep-tech flavors.

Scheduling

Physicians Practice

JULY 24, 2025

Reynolds Fact checked by Chris Mazzolini Blog Video Boost patient satisfaction in your medical practice with three proven strategies in this P2 Management Minute. Let’s collaborate to make every minute count for the medical community. You can let him know at kreynolds@mjhlifesciences.com.

Patient Satisfaction

Arkenea

JULY 9, 2025

In 2025, successful Epic implementation must address emerging requirements including artificial intelligence integration, cloud computing capabilities, and enhanced interoperability standards that have become essential for modern healthcare delivery. Return on investment analysis should address both quantitative and qualitative benefits.

Unit Organization and Environment

Forbes Healthcare

JULY 2, 2025

Follow Author Jul 02, 2025, 11:08am EDT Jul 02, 2025, 05:19pm EDT Share Save WASHINGTON, DC - MAY 13: U.S. Capitol on May 13, 2025 in Washington, DC. Jeffries spoke out against the Republican budget bill and the potential cuts to safety net programs including Medicaid, Social Security and veterans’ services.

Insurance

Physicians Practice

JULY 29, 2025

Reynolds Fact checked by Chris Mazzolini Blog Video Safeguard your medical practice’s bottom line with actionable strategies that cut costs and boost revenue in this P2 Management Minute. Let’s collaborate to make every minute count for the medical community. You can let him know at kreynolds@mjhlifesciences.com.

Billing

Physicians Practice

JULY 21, 2025

About the P2 Management Minute The P2 Management Minute is a fast-paced video micro-series from Physicians Practice that distills proven management strategies into bite-size, one-minute episodes for busy medical practice administrators and lead physicians. Let’s collaborate to make every minute count for the medical community.

Billing

Physicians Practice

JULY 15, 2025

July 15, 2025 By Keith A. Recent Videos Related Content Practice tip of the week: Starting an RPM program Physicians Practice Staff July 14th 2025 Article Your weekly dose of wisdom from the Physicians Practice experts. Dickens of SVMIC Austin Littrell April 14th 2025 Podcast Stephen A. 60: Strategic planning with Stephen A.

Billing

Forbes Healthcare

JUNE 14, 2025

Follow Author Jun 14, 2025, 04:29pm EDT Share Save Comment Dr. Oz just turned 65 and became a Medicare beneficiary. All Rights Reserved. Jain , Contributor. Forbes contributors publish independent expert analyses and insights. I cover transformation and innovation across the health care industry. Everyone who operates a Medicare plan.

Insurance

Physicians Practice

JULY 23, 2025

Reynolds Fact checked by Chris Mazzolini Blog Video Boost medical practice performance with three proven metrics. Let’s collaborate to make every minute count for the medical community. Learn how to track, benchmark, and act on each KPI in this quick P2 Management Minute. You can let him know at kreynolds@mjhlifesciences.com.

Billing

Medical Economics

JUNE 30, 2025

What’s really at stake The CAQH attestation crisis reflects broader health care tensions — the endless pursuit of administrative efficiency colliding with messy medical practice realities. When missed attestation deadlines carry the same weight as medical malpractice, priorities have gone seriously wrong.

Insurance

Medical Economics

JULY 8, 2025

The Medical Group Management Association estimates it costs about $25 to rework just one claim. Appeal faster with templates Maintain three ready-to-use letters in your billing system: one for medical-necessity denials, one for coding edits and one for missing prior authorizations. The financial toll is also significant.

Huddles/Rounds

Physicians Practice

JULY 8, 2025

Reynolds July 8th 2025 Article Discover effective strategies to reduce overhead costs in medical practices without layoffs, enhancing staff morale and improving patient care. of AIMPA Austin Littrell June 23rd 2025 Podcast Paul Berggreen, M.D., 70: The state of private practice with Paul Berggreen, M.D.,

Billing