MGMA

Better Care Starts with Smarter Savings. Did you know MGMA BestPrice helps MGMA members save up to 20% on medical, surgical, pharmaceutical and non-medical supplies? Our nationally negotiated pricing provides you access to savings opportunities from industry-leading vendors, which can further streamline medical practice operations and help you reduce expenses. Join for FREE and start saving today with MGMA BestPrice. Enroll today at mgmabestprice.org or call 844-234-6462

Is private practice past peak profit? Previous MGMA Data Mine articles have chronicled how inflation, escalating staff compensation costs and supply chain pressures steadily raised practice overhead while reimbursement stagnated or declined. This Data Mine article examines multiple years of data to provide insights into the short- and long-term economic situation for medical groups: https://bit.ly/47kLmv6

Medicare Claims Hold Lifted – October 21, 2025 "CMS instructed all Medicare Administrative Contractors (MACs) to lift the claims hold and process claims with dates of service of October 1, 2025, and later for certain services impacted by select expired Medicare legislative payment provisions passed under the Full-Year Continuing Appropriations and Extensions Act, 2025 (Pub. L. 119-4, Mar. 15, 2025).  This includes claims paid under the Medicare Physician Fee Schedule, ground ambulance transport claims, and Federally Qualified Health Center (FQHC) claims.  This includes telehealth claims that CMS can confirm are definitively for behavioral and mental health services.  CMS has directed all MACs to continue to temporarily hold claims for other telehealth services (i.e. those that CMS cannot confirm are definitively for behavioral and mental health services) and for acute Hospital Care at Home claims." https://lnkd.in/eWNqHpfw

MGMA volunteers are doing amazing things; coming together to share knowledge, support one another, and shape the future of our community. Volunteerism is at the heart of what makes MGMA thrive, and our Resource Groups are a perfect place to get involved, learn, and lead alongside peers who inspire. The volunteer leaders of these groups are truly incredible at driving impactful and meaningful conversation and connection. Registration for MGMA Resource Group November virtual sessions is open now. Don’t miss your chance to join the conversation and make an impact! Register here, MGMA members! https://lnkd.in/eBED4_av #MGMA #VolunteerLeadership #MemberEngagement #AssociationCommunity #ProfessionalGrowth

As the 2025 MGMA Harwick Innovation Award Winner, Sean Nguyen has transformed how multidisciplinary care is delivered across a large health system by breaking down silos, improving patient access and creating a blueprint for coordinated care. Check out his interview on the #MGMAInsights Podcast, where he discusses his innovative work while sharing his healthcare journey: https://bit.ly/43jHLfn

NEW: CMS has revised its statement on the hold, limiting the claims hold to expired extenders. We will be checking today with MGMA members to see if they’ve received reimbursement for -any- Medicare claims for date of service October 1 yet. https://lnkd.in/eWNqHpfw

Congratulations to this year’s ACMPE Certification Commission—an inspiring group of volunteer leaders advancing excellence in medical practice management: Chair: Karen Bowman, FACMPE CPC CPMA CPCO-I Vice Chair: Rana McSpadden, FACMPE, CHPC, CPC Past Chair: Robert (Bob) Bush, FACMPE Standing Members: Gena M. Weir, MPH, PMP, FACMPE • Ryan Campbell, MSHA, FACHE, FACMPE • Dr. Lola Osawe, DHA, FACMPE, FACHE, IHC • Kristy Smith, FACMPE • (New) Jason M. Raidbard, MPA, FACMPE Early Careerist Liaison: Ryan Yellott Together, this Commission plays a vital role in upholding the integrity and advancement of ACMPE’s credentialing offerings—ensuring the next generation of medical practice leaders are equipped to excel in a rapidly changing healthcare environment. Thank you for your leadership and commitment to #ACMPE and the future of our profession! Learn more about American College of Medical Practice Executives (ACMPE): https://bit.ly/4onTPUY #HealthcareManagement

NEW: CMS has revised its statement on the hold, limiting the claims hold to expired extenders. We will be checking today with MGMA members to see if they’ve received reimbursement for -any- Medicare claims for date of service October 1 yet. https://lnkd.in/eWNqHpfw

CMS just issued an update to its Medicare claims hold instructions to contractors. Prior instructions were for contractors to hold claims 10 business days before processing. These new instructions remove the original 10 day reference (continuing the hold on claims with dates of service beginning Oct. 1). MGMA will continue to update everyone as we learn more.

Our latest research with MGMA reveals a glaring expectation gap: most physicians leave their first roles within three years, while 𝟲𝟵% 𝗼𝗳 𝗮𝗱𝗺𝗶𝗻𝗶𝘀𝘁𝗿𝗮𝘁𝗼𝗿𝘀 𝗮𝘀𝘀𝘂𝗺𝗲 𝗮 𝘁𝘆𝗽𝗶𝗰𝗮𝗹 𝘁𝗲𝗻𝘂𝗿𝗲 𝗼𝗳 𝘀𝗶𝘅 𝗼𝗿 𝗺𝗼𝗿𝗲 𝘆𝗲𝗮𝗿𝘀. This misread breeds mismatched promises, unrealistic onboarding, and late interventions. 💡 𝗗𝗼𝘄𝗻𝗹𝗼𝗮𝗱 𝘁𝗵𝗲 𝗿𝗲𝗽𝗼𝗿𝘁 𝘁𝗼 𝗹𝗲𝗮𝗿𝗻 𝘀𝘁𝗿𝗮𝘁𝗲𝗴𝗶𝗲𝘀 𝘁𝗵𝗮𝘁 𝗰𝗼𝗺𝗯𝗮𝘁 𝘁𝗵𝗶𝘀 𝘁𝘂𝗿𝗻𝗼𝘃𝗲𝗿 𝗮𝗻𝗱 𝗱𝗿𝗶𝘃𝗲 𝗲𝗮𝗿𝗹𝘆-𝗰𝗮𝗿𝗲𝗲𝗿 𝗽𝗵𝘆𝘀𝗶𝗰𝗶𝗮𝗻 𝗹𝗼𝘆𝗮𝗹𝘁𝘆: https://lnkd.in/eJ2m3aRV #physicianrecruitment #physicianretention #newresearch