All Issues
The Silent Squeeze
How carriers use algorithmic downcoding and outdated fee schedules to underpay you without formal denials.
of annual revenue lost
The Fee Schedule Shell Game
How carriers claim fee schedules have changed to systematically underpay your claims without formal denials.
systematic underpayment
The Prior Auth Trap
How carriers weaponize missing authorizations to deny claims and shift the burden to providers.
of denials cite auth issues (Experian 2025)
Featured Resources
Silent Squeeze Defense Checklist
Complete checklist for detecting and fighting algorithmic downcoding. Includes documentation templates and audit procedures.
Download from Issue #1 →Fee Schedule Audit Template
Quarterly audit template for comparing paid claims to your fee schedules. Includes variance calculation and reporting framework.
Download from Issue #2 →Prior Auth Defense Checklist
Six-step framework for documenting authorizations and building winning appeals. Includes legal references and templates.
Download from Issue #3 →Subscribe for Weekly Intelligence
Get new issues delivered to your inbox every week. Join providers who are winning against carrier tactics.
Subscribe Now