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...
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...
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...
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....
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...
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...