In this episode of ACEP Frontline, we hear from longtime friend of the show, Dr. Jason Adler, one of the most knowledgeable and respected voices in the world of revenue cycle management (RCM). Dr. Adler pulls back the curtain on the increasingly complex and often frustrating tactics used by insurers, including downcoding, denials, and other strategies that directly impact emergency physicians and the care we provide.

This is more than a conversation about billing, it’s a deep dive into the financial realities that shape emergency medicine today. Dr. Adler breaks down how these “insurer games” work, why they matter, and how they ultimately affect not just physician compensation, but the sustainability of emergency departments across the country.

Understanding how your paycheck comes together is no longer optional, it’s essential. As corporate payers continue to prioritize profits, often at the expense of frontline care, physicians must be informed, engaged, and ready to advocate. This episode equips you with the insight needed to recognize these challenges and reinforces the importance of continuing the fight for fair reimbursement and the value of emergency medicine.

If you’ve ever wondered where your work and your worth gets lost in the system, this is an episode you won’t want to miss.

This is from Colorado ACEP and their conference.