Apprise MD

03/30/2026

This National Doctors' Day, March 30th, AppriseMD celebrates the dedication of all physicians, especially the physician leaders on our clinical operations team. https://apprisemd.com/leadership-team/

03/27/2026

AppriseMD will be at the NPAC 2026 National Physician Advisor Conference April 13-16 in Charlotte, NC, and at the ACMA 2026 National Conference, April 20-23, in Orlando, FL. If you are attending, please stop by to talk to our team.

03/26/2026

"There is still a lack of trust in what AI can achieve in the revenue cycle," according to a report published last month by the Healthcare Financial Management Association.

Only one in five providers use AI for denials management as revenue cycle leaders cite trust concerns, shifting priorities and competing technology initiatives.

03/23/2026

It's National Physicians Week and a great opportunity to thank all physicians who work to improve quality of care for their patients. Special thanks and appreciation to the physician advisors who utilize their medical judgment and clinical expertise to support their fellow providers. Happy National Physicians Week to the entire physician community.

03/20/2026

Today is Match Day, and AppriseMD looks forward to seeing physicians matched into residency programs across the country to begin postgraduate training in various specialties. We are proud of our case preparation physicians who matched into programs across the country through the National Resident Matching Program in past years. Good luck to all in this year's match!

03/17/2026

AppriseMD was able to overturn a one-night stay denial where the patient showed improved hemodynamics, conversion to normal sinus rhythm, and lacked evidence of heart failure on hospital day two. Read more about this challenging overturn at

A challenging MA denial was overturned after an AppriseMD physician advisor facilitated a peer-to-peer review with the payer medical director.

03/12/2026

Our collection of white papers includes a closer look at topics ranging from the Two-Midnight rule to the use of AI in healthcare claim denials. See all our papers at https://apprisemd.com/healthcare-insights/

03/10/2026

An American College of Physician Advisors report called for providers to push back and report when insurance plans ignore the rules, stating that “with enough complaints, Centers for Medicare and Medicaid Services will be forced to address this abhorrent behavior.”

There are various ways to report non-compliance by the Medicare Advantage Organizations, in addition to appealing all denials that contradict the CMS regulation.

Read more at

An American College of Physician Advisors’ (ACPA) recent report concurs with earlier data from AppriseMD that many Medicare Advantage Organizations (MAOs) are not complying with the guidelines that the Centers for Medicare and Medicaid Services established under rule 4201-F. In its News to Note fr...

03/05/2026

AppriseMD overturned a challenging Medicare Advantage denial after a physician advisor facilitated a peer-to-peer review with the payer medical director. Read more about this short stay at https://apprisemd.com/case-study-challenging-ma-denial-overturned-despite-one-midnight-stay/

03/04/2026

The two-midnight rule was referenced in a recent article published as part of the American Medical Association’s Debunking Regulatory Myths series. This piece discusses reimbursement for a patient leaving against medical advice when doctors had reasonable expectations that the patient would require care over two midnights.

Get real answers from the AMA to common myths about payment for hospital services if a patient leaves against medical advice.

02/26/2026

The elimination of the Inpatient Only (IPO) list aims to give physicians more options on where to perform surgical procedures, while also allowing patients more choices. This move represents a shift from a procedure-based requirement to one of clinical judgment, so not all patients will benefit from the expanded surgical locations.

Read more about the dissmantling of the IPO list at

CMS began dismantling the Inpatient Only list (IPO) on January 1, 2026. This phasing out process will happen over the next three years.

02/24/2026

Healthcare executives are monitoring trends that impact the revenue cycle in 2026. According to HealthLeaders, these trends include the following: rising denial rates, a potential shift from generative AI to agentic AI, policy changes affecting the front-end of revenue cycle, technology investment strategies, and prior authorization.