What deems a spine surgery as “unnecessary” goes beyond just coding data alone, and the definition of ‘low-value’ care needs to be assessed by physicians first, some spine surgeons say. Five surgeons ...

A highly respected internist in a suburban town suddenly noticed a large decrease in new patient referrals and wondered why. It turned out that there was a single negative patient review online. By ...

“HIPAA prevents covered physicians from confirming or denying patient status. This makes it impossible to respond to specific allegations, even when they’re outrageous and untrue,” she said. There are ...

Most hospital leaders understand the financial risk of prior authorization breakdowns. But another source of revenue leakage is gaining attention: ...

Nearly 6 in 10 U.S. physician leaders aspire to become a CEO one day, according to a McKinsey & Co. survey.  McKinsey surveyed 296 physician ...