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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...
Where You Perform the Procedure Is Almost As Important As What You Bill

Where You Perform the Procedure Is Almost As Important As What You Bill

by Jason Farmer | Jul 28, 2026 | Financial Oversight

The 2026 physician fee schedule widens the gap between office-based and facility-based payment for interventional pain procedures. Understanding the full economics – not just the facility rate – is the difference between a profitable procedure mix and a...
Payer Contracting in Orthopedics: Fee Schedules, Bundles, and TEAM

Payer Contracting in Orthopedics: Fee Schedules, Bundles, and TEAM

by Jason Farmer | Jul 23, 2026 | Financial Oversight

Commercial contracts that have not been actively managed in three years are almost certainly paying below market. And starting in 2026, 741 hospitals are mandatory participants in a new bundled payment model that reaches directly into how orthopedic surgeons are paid....
Cash, Insurance, or Both: Building a Payer Mix That Holds

Cash, Insurance, or Both: Building a Payer Mix That Holds

by Jason Farmer | Jul 15, 2026 | Financial Oversight

Going cash-only is the most-advertised answer in chiropractic and the most oversold. The defensible move is deliberate mix – and knowing exactly what each payer class earns you per visit. Key TakeawaysChiropractors report a genuinely mixed payment environment...
How Much Does a Fractional Executive Cost? The Math for Medical Practices

How Much Does a Fractional Executive Cost? The Math for Medical Practices

by Jason Farmer | Jul 15, 2026 | Financial Oversight

Fractional pricing looks expensive until you set it next to the alternative. Here is the full-time comparison, the working ranges, and the return the fee has to clear. Key TakeawaysA full-time executive for a medical practice runs roughly $250,000 to $500,000 a year...
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