How to Keep Your Medical Practice HIPAA Compliant
HIPAA compliance and cybersecurity aren’t just concerns for large health systems. Every medical practice that handles patient information has a responsibility to keep it safe. Even without a large IT department, you can take meaningful steps to protect data, remain compliant, and maintain the trust of your patients. Why HIPAA and Cybersecurity Matter HIPAA requires […]
Top 5 Ways to Increase Revenue for Your Medical Practice
Running a successful medical practice isn’t just about providing excellent patient care—it’s also about maintaining a healthy financial outlook. In today’s challenging healthcare environment, finding ways to boost revenue is crucial. Here are the top five strategies to help your medical practice increase revenue, improve efficiency, and ensure long-term sustainability. 1. Optimize Appointment Scheduling […]
How 10 States are Reforming Prior Authorization in 2024
In 2024, ten states took substantial steps to reform prior authorization (PA) processes to reduce patient care delays and cut down administrative burdens on healthcare providers. These reforms, supported by state medical societies and the AMA, focus on increasing transparency, expediting response times, and reducing the number of procedures and medications that require prior authorization. […]
Key Takeaways from the 2025 Medicare Physician Payment Schedule and Quality Payment Program Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) has released the 2025 final rule for the Medicare Physician Payment Schedule (PFS) and Quality Payment Program (QPP), introducing several updates that will impact healthcare providers nationwide. From a decrease in the Medicare conversion factor to new policies for telehealth and behavioral health services, these changes reflect evolving priorities […]
New CMS Program Targets Unnecessary Services in Original Medicare
The Centers for Medicare & Medicaid Services (CMS) has announced a new pilot model called WISeR, short for Wasteful and Inappropriate Service Reduction. This six-year program is designed to reduce unnecessary services in Original Medicare and modernize the prior authorization process using data-driven tools. The WISeR model launches on January 1, 2026, and will […]
CMS Proposes 2025 Physician Pay Cuts and New Codes for Social Care
The Centers for Medicare & Medicaid Services (CMS) recently released its proposed Physician Fee Schedule (PFS) rule for calendar year 2025, outlining major changes that could affect how physicians and other clinicians are paid. The proposed rule aims to streamline documentation, reduce administrative waste, and advance value-based care models. But it also includes a proposed […]
White House Expands AI Commitment to Transform U.S. Healthcare
The White House is intensifying efforts to integrate artificial intelligence (AI) into healthcare with a focus on patient safety, data security, and improved clinical outcomes. The initiative builds on previous AI strategy work and aligns federal agencies, researchers, and healthcare providers around common technology goals. The updated approach reinforces AI as a tool to […]
$50 Billion CMS Initiative Aims to Redefine Rural Health Care
The Centers for Medicare & Medicaid Services (CMS) has announced a new $50 billion Rural Health Transformation Program designed to overhaul health care delivery across rural America. This unprecedented investment will allow states to address critical access gaps, strengthen health infrastructure, and implement innovative solutions tailored to the needs of rural communities. What The […]
Medicare Advantage enrollment falling in 2026
What’s Changing in Medicare Advantage for 2026 According to CMS and recent reporting: Why the Change? What’s Driving This Shift Several headwinds and dynamics are influencing the MA program’s growth trajectory: What This Means for Providers & Medical Practices For medical practices that bill MA plans (or are considering participating), there are several […]
Webinar: Navigating the 2025 Medicare PFS Maximize Revenue and Simplify Billing
Discover how Medicare changes in 2025 could shape your practice. Learn from industry experts Kelly Schoenfeld and Brian Esser how to adapt seamlessly, optimize revenue, and support patient care. This webinar is hosted in partnership with Elation Health. Host: Brian Esser, Principal Product Manager at Elation HealthSpeaker: Kelly Schoenfeld, CEO of Zoo Health 00:00:00:00 – 00:00:43:04 […]