Article Archive

Your UR Nurse Holds Your Best Payer Contract Evidence

Your best enforcement record already exists. It's sitting in a queue on the wrong floor, in front of someone nobody thought to ask.

The Person Across the Table Can't Say Yes. Find Out Who Can.

Your counterpart isn't stalling you. She can't say yes, and nobody in the room is going to tell you that.

The Hidden Cost of Winning the Rate (MGMA Insights Podcast)

MGMA Insights Podcast - Daniel Williams, Senior Editor & Host

Your Contracts Are Intact. Your Patient Mix Isn't.

The agreements are signed. The rates are set. The population they were built for is gone.

Credentialing Delays Are a Revenue Problem, Not Paperwork

Credentialing and provider enrollment delays create unpaid claims. Why enrollment is a financial lever and a contract enforcement issue, not paperwork.

Most Denials Aren't a Billing Problem. They're a Contract Problem.

Why most denials point back to the contract, and how to enforce the terms you already negotiated

You Inherited a Payer Problem You Didn't Create. Start Here.

How years of absorbed underpayments teach payers to test you, and three habits new contract managers can build from day one

A Mid-Contract Policy Change Isn't a Clinical Dispute

Why a mid-contract payer policy change is a contract performance issue, not a clinical dispute

Payer Relations and Patient Access Are One System on Two Floors

Seven ways to connect contracting and patient access so the terms you negotiate actually hold up at the front desk