Payer Operations

Helpful guides and information relating to medical management, provider relations, partnerships, vendors and more!

medical coding ai,chatgpt billing compliance,ivecoder software
By Will Schmidt December 23, 2025
Explore why ChatGPT falls short for compliant medical coding and how iVECoder, with AMA licensing and CMS updates, offers a safer, more accurate solution.
provider relations guide to reducing denials and improving compliance
By Will Schmidt December 23, 2025
Step-by-step strategy for provider relations teams to reduce denials, speed up payments, and use AI-enhanced Excel tools to support clean claims.
aapc conferences,aapc conference impacts,aapc conference as a vendor
By Will Schmidt December 12, 2025
A strategic review of AAPC HEALTHCON—who it serves, how it operates, attendee value, sponsor ROI, and why it primarily benefits provider-side billing professionals.
payer marketing,payer marketing guide,free guide to healthcare marketing
By Will Schmidt March 18, 2025
How to gain more providers, more members, and increase retention, all through this free payer marketing strategy guide.
doge healthcare,doge impact on healthcare
By Will Schmidt February 11, 2025
Real-time article chronically DOGE's auditing of CMS and US Healthcare costs to help reduce the cost of healthcare and save taxpayer spending.
Healthcare Mergers,Healthcare Acquisitions,healthcare m&a,what to expect in a healthcare acquisition
By Will Schmidt January 28, 2025
How to navigate the healthcare merger and acquisition market in 2026. Strategies, tips, real-life scenarios, and guidance from PCG's CSO, who's been through them, on both sides of the table, and lived to tell about it.
oig audit,oig audit process
By Will Schmidt January 21, 2025
Explore OIG penalties, audit risks, and de-delegation fallout—plus how to safeguard your plan with better oversight and AI-driven claims defense.
cpt code book,cpt code book issues
By Will Schmidt January 15, 2025
Discover why traditional CPT code books are outdated and costly compared to iVECoder's real-time, automated medical coding solution. Learn how weekly updates, affordable pricing, and workflow efficiency can revolutionize claims processing for health plans and billing professionals. Read now!
health plan strategies for natural disasters
By Will Schmidt January 13, 2025
How health plans keep claims, authorizations, and compliance running during wildfires, floods, freezes, cyberattacks, and major disruptions.
who pays for healthcare breaches in 2025
By Will Schmidt January 2, 2025
Cyberattacks cost payers, providers, patients, and taxpayers billions. See who really pays for PHI breaches, HIPAA failures, and system outages in 2025.