HealthIT Answers June 26, 2023
Matthew D. Bayley, M.D.

By Matthew D. Bayley, M.D., Group President, Conifer Health Solutions
Twitter: @coniferhealth

Each year the Medical Group Management Association (MGMA) surveys hundreds of group practices to assess how industry regulations are impacting them. Just as in previous years, the most recent survey shows things are getting worse, not better. Nearly nine in 10 respondents said their practice’s regulatory burden has increased. Ninety-seven percent said that if it weren’t for regulations, they would be able to transition resources to patient care.

Of all burdens reported, those ranking highest were prior authorizations, surprise billing, Medicare Quality Payment Programs (MIPS/APMs), and audits and appeals. The results are understandable considering the amount of time and vast resources practices spend managing processes around these burdens. Besides...

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