Claim OwnershipZotec Answers - A Healthcare Podcast
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If you have complex questions about your healthcare business, Zotec has answers. In this podcast series, experts at Zotec answer key questions around healthcare revenue cycle management, patient experience, business strategy, financial advice, and more. Tune in today to get the answers you seek.
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Review MGMA's 2026 Advocacy Agenda here.
If you've found this episode to be helpful, be sure to like, subscribe, and share the podcast. And if you have feedback or a topic you'd like us to explore, you can reach us anytime at zotecanswers@zotecpartners.com.
Ready to take the next step in your advocacy journey? Check out our Healthcare Advocacy Toolkit to get involved!
Learn more about the Urgent Care Association's Advocacy efforts.
Listen to the previous episode in our AI series here.
In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison for Zotec Partners, sits down with Ron Howrigon, President and CEO of Fulcrum Strategies, to break down how health insurance payers are shaping today's reimbursement and denial landscape. Drawing on insider payer strategy, they explore why denial rates are rising, how insurers approach reimbursement policy, and what clinicians can do to respond effectively in an evolving revenue cycle environment.
Check out our previous AI update podcast episode.
Ed Gaines analyzes the CMS IDR Process PUF data for Q1-Q2 2025 and explains what it means for physician arbitration, payer negotiations, and revenue strategy. Learn how recent Transparency in Coverage (TiC) rule changes are affecting physicians in this episode of Zotec Answers. Read more on the release of the IDR Public Use Files.
Fact-based summary of the hearings on the A to ZPAC blogIn late January, the House Budget Committee held a hearing on skyrocketing health care costs. To learn more about that hearing, check out this press release.
Comments are due on February 23, 2026.CMS: List of certified independent dispute resolution entities
Zotec and Microsoft partner to bring intelligent automation to radiology workflows - Read more here.
This episode was recorded and produced just before the Executive Order establishing a federal moratorium on state-level AI regulation was signed (12/11/2025). The order creates a unified federal framework, directs a new AI Litigation Task Force, and ties certain broadband funding eligibility to state compliance. We’ll continue to monitor these developments and share updates as they become available.For more information, refer to the White House Fact Sheet and recent news coverage on the Executive Order.
Zotec and Microsoft partner to bring intelligent automation to radiology workflows at RSNA 2025 - Read more here.
White Paper - "Medicare's Anchor is Dragging"MPFS Final Rule SummaryMPFS Final Rule Key Takeaways
In this episode of Zotec Answers, Jennifer Fox and Megan Applegarth explore whether states are taking the lead over Congress in crafting AI regulations. They examine how differing state policies are setting the standard for national regulations and what this means for innovation, technology development, and the responsible use of AI across industries.
Review ZPAC's monthly newsletter. Visit PayerPrice or contact Roger at roger@payerprice.com. Check out our new white paper on Medicare physician reimbursement.
Support the Find It Early Act today by sending a message to your lawmakers! Take action here or by texting ZPFIND to 50457.
In this episode of Zotec Answers, Jennifer Fox and Megan Applegarth explore the evolving world of AI in healthcare, with a focus on how it's being regulated. They share insights on the latest developments at both the state and federal levels and discuss how varying state approaches are shaping the national landscape.
In this episode of Zotec Answers, Ed Gaines, Vice President of Regulatory Affairs and Industry Liaison for Zotec Partners, breaks down a frequently mentioned, but often misunderstood, term in Washington, D.C.: "PAYGO" sequestration cuts. In this quick, crash-course style discussion, Ed explains what these cuts are, how they work, and what they mean for healthcare.
Take action today by clicking here or by texting ZPNSA to 50457.Download and review our Healthcare Advocacy Toolkit.Access the NSA timeline.
Get Involved: Access our updated Healthcare Advocacy Toolkit for resources and talking points. Take Action: Urge Congress to support the Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879/S. 1640) here or text ZPFIX to 50457.
Review the Specialty Impact Table (Table 92). H.R. 879 and S. 1640.Read more on the new CMS "efficiency adjustment" in a recent A to ZPAC blog post.
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