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Global Obstetric Billing and Where the Revenue Leaks

Global Obstetric Billing and Where the Revenue Leaks

by Jason Farmer | Aug 9, 2026 | Financial Oversight

The global obstetric package is a bundled payment built on a documentation scaffold most practices never fully build. When the scaffold is incomplete, payers downcode, deny, or recoup – and the practice rarely knows which visit triggered it. Key TakeawaysThe...
The Economics of an E/M-Heavy Neurology Practice After the Office Visit Changes

The Economics of an E/M-Heavy Neurology Practice After the Office Visit Changes

by Jason Farmer | Aug 8, 2026 | Financial Oversight

Neurology lives in the office visit. After several years of E/M guideline revisions and a new complexity add-on code, most practices have not fully rebuilt the financial case for the work they already do. Key TakeawaysThe 2021 AMA E/M guideline revisions moved level...
Direct Primary Care and Membership Conversion Economics

Direct Primary Care and Membership Conversion Economics

by Jason Farmer | Aug 4, 2026 | Growth Strategy

DPC membership has grown nearly 900 percent since 2017. The business model works in the right practice. Whether it works in yours is a calculation, not a conviction. Key TakeawaysAAFP data put the average DPC panel at 413 patients and average full-time DPC physician...
Seven Red Flags Hiding in Your Managed Care Contracts

Seven Red Flags Hiding in Your Managed Care Contracts

by Jason Farmer | Aug 1, 2026 | Revenue Cycle

Most payer contracts get read once, signed, and filed. The boilerplate inside quietly sets your rates, your risk, and your leverage for years. Key TakeawaysRead the amendment, recoupment, and termination clauses before the fee schedule, because that is where the risk...
GUIDE Quality Metrics, the Performance-Based Adjustment, and the Reporting Burden

GUIDE Quality Metrics, the Performance-Based Adjustment, and the Reporting Burden

by Jason Farmer | Jul 30, 2026 | Compliance & Risk

CMS built five metrics into GUIDE that directly affect payment – including two developed specifically for this model. Understanding the measurement methodology is not an academic exercise; it determines whether you receive a bonus or a penalty. Key TakeawaysFive...
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