Do you owe the AMA money for using CPT® codes in your product?
Release Date: 10/11/2024
Medicare Hammers Skin Substitute Rates in 2026
Doctor Deals Podcast
Medicare is dropping the payment hammer on skin substitute reimbursement in 2026. This episode covers Medicare’s new skin substitute payment changes, as well as the implications this has on commercial reimbursement. Learn more at: https://datarise.cokergroup.com/blog/2025/12/18/medicare-hammers-skin-substitute-rates-in-2026/
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Crush Readmissions & Make Money with Cardiac Rehab - Epis. 40
Doctor Deals Podcast
Congestive heart failure is one of the highest-cost diseases driving hospital readmissions and healthcare costs in the U.S. A highly effective treatment for preventing hospital readmissions of heart failure patients is intensive cardiac rehab. The intensive cardiac rehab benefits under Medicare and commercial payers pay physicians and hospitals surprisingly good reimbursement. Learn more: https://datarise.cokergroup.com/blog/2025/10/31/crush-readmissions-make-money-with-cardiac-rehab/
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Retinopathy of Prematurity: FMV Pediatric Ophthalmology Services - Epis. 39
Doctor Deals Podcast
Premature birth interrupts the normal development of blood vessels in infants’ eyes. If not diagnosed and treated in a timely manner, retinopathy of prematurity (ROP) can result in retinal detachment and blindness. Hospital neonatal intensive care units (NICUs) have a compelling need to contract with pediatric ophthalmologists to provide ROP screening and treatment services. Learn more: https://datarise.cokergroup.com/blog/2025/10/12/retinopathy-of-prematurity-fmv-of-pediatric-ophthalmology-services/
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Alaska: The Outlier State for Physician Services - Epis. 38
Doctor Deals Podcast
Alaska has fewer physician residents-in-training than any other U.S. state except Wyoming. Together with Alaska’s remote location, nine hundred miles from Washington State, these factors create one of the most challenging markets for attracting and retaining physicians. Learn more: https://datarise.cokergroup.com/blog/2025/10/02/alaska-the-outlier-state-for-physician-services/
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Fair Market Value for Interpretation of Molecular Diagnostic & Genomic Tests - Epis. 37
Doctor Deals Podcast
Medical geneticists and molecular pathologists play a major role in the growing fields of genomic testing and molecular diagnostics. Reimbursement for professional interpretation of these tests has fallen through the cracks of a complex system. Learn more: https://datarise.cokergroup.com/blog/2025/09/16/fair-market-value-for-interpretation-of-molecular-diagnostic-genomic-tests/
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$17 Billion in Doctor Deals Done By Drug Distributors - Epis. #36
Doctor Deals Podcast
Cardinal, McKesson, and Cencora have been busy during the past two years. These three drug distributors have spent over $17 billion acquiring large specialty medical groups from private equity sellers. Close review of the target acquisitions reveals a compelling business strategy involving in-office drug infusions, injections, and dispensing. Learn more at: https://datarise.cokergroup.com/blog/2025/08/27/17-billion-in-doctor-deals-done-by-drug-distributors/
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Local Market Provider Compensation Data - Epis. #35
Doctor Deals Podcast
National physician enterprises set compensation rates in dozens or even hundreds of different markets. Clearly physicians in Alaska and San Francisco should not be compensated "the same" as physicians in rural Kansas and Arkansas. Today we’ll talk about local market data for physician compensation. Learn more at: https://datarise.cokergroup.com/downloads/datarise-provider-compensation-data/
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Telemedicine Commercial Reimbursement Trends - Epis. #33
Doctor Deals Podcast
The 2025 commercial reimbursement rates for telemedicine are finally here. Today you’ll get a glimpse of commercial reimbursement trends for telemedicine during 2025. New commercial reimbursement rates are starting to appear in payor contracts for the 17 new telemedicine codes implemented during 2025. While Medicare still has a statutory requirement to pay telemedicine physician services at in-office rates, commercial insurance carriers are not required to follow Medicare’s mandate. Learn more at: https://datarise.cokergroup.com/blog/2025/05/29/telemedicine-commercial-reimbursement-trends/...
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Announcement: 2025 Acuvance DataRise™ Provider Compensation Data
Doctor Deals Podcast
Nick Newsad shares customer feedback from DataRise PCD's first year and identifies three resulting enhancements to the subscription during 2025. The new Acuvance brand name is also discussed.
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Scott Becker Discusses Becker's Healthcare
Doctor Deals Podcast
Scott Becker and Nick Newsad delve deeper into Scott's entrepreneurial journey as described in his new book The Entrepreneur's Edge. This episode covers Scott's views on marketing, content strategy at Becker's Healthcare, and memorable guest speakers. Scott describes personal interactions with George W. Bush, Hillary Clinton, Kareem Abdul-Jabbar, Bill Walton, and Nikki Haley. The Entrepreneur's Edge is available in Kindle, paperback, and hardcover: https://www.amazon.com/Entrepreneurs-Edge-Build-Manage-Business-ebook/dp/B0DBWYQPSJ
info_outlineThe American Medical Association owns the copyright on the CPT® medical coding system. If you sell any type of product or software service that uses or processes CPT® codes, then you probably owe the AMA royalties.