March 27th 2025
Learn how to reduce claim denials, streamline appeals, and protect your revenue with these proven denial management strategies tailored for medical practice administrators.
March 21st 2025
Discussing costs with patients is a conversation many physicians avoid, but they're doing their practice a disservice.
January 16th 2025
Company aims to make claims appeals easier and quicker for physicians by having AI do much of the work
March 29th 2024
Navigating payer denials requires the most expertise to handle within revenue cycle management
December 11th 2023
Recover revenue by utilizing proactive measures and technological solutions to navigate this difficult terrain.
PayerView 2013 Data: Major Payers
Here are the eight best major payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.
PayerView 2013 Data: Medicaid
Here are the best Medicaid payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.
PayerView 2013 Data: Medicare
Here are the best Medicare payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.
PayerView 2013 Data: Midwest
Here are the rankings of the best payers in the Midwestern U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.
PayerView 2013 Data: Northeast
Here are the rankings of the best payers in the northeast U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.
PayerView 2013 Data: South
Here are the rankings of the best payers in the southern U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.
PayerView 2013 Data: West
Here are the rankings of the best payers in the western U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.
PayerView 2013 Data: Worst Payers
Here are the five worst payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.
PayerView 2013: Getting Paid at Your Medical Practice
Our 2013 PayerView data, compiled by athenahealth, suggests difficult times ahead. Here are some steps to increase payer performance at your practice.
Four Steps to Healthier Accounts Receivable at Your Medical Practice
Stop cash flow from being a regular issue at your medical practice with these four tips to minimize the time between seeing a patient and getting paid.
Medicare Part B Might Pay for Part A Denial Under Proposed Rule
CMS has issued a proposed rule physicians should know about when it comes to Medicare Part A denials, a possible Part B solution, and their revenue cycle.
Payers Turning to Patients to Fight Denied Claims
It seems payers want patients, not your medical practice, to resolve denied claims. Here's how to arm yourself and your patients with the information to get it resolved.
Avoiding Claim Denials Due to New Medical Codes
Here are six essential steps to avoid claim denials due to new 2013 codes and three tips for monitoring your medical practice's denials.
Track Denials to Increase Medical Practice Cash Flow
Clear policies and processes for handling denials can affect your bottom line by improving your revenue cycle, decreasing staff costs, and increasing cash flow.
Keeping Medical Practice Staff on Task
Day-to-day operations at your practice can easily get derailed. Here's how to keep staff on track despite possible disruptions.
Five Common Denials Halting Payments to Your Medical Practice
By reviewing the denials your practice receives from insurance companies, you can tailor your training and internal procedures to remedy a majority of these.
Stopping Medicare Fraud - CMS Predictive Modeling Initiatives
CMS is stepping up efforts to ferret out fraud through its new Center for Program Integrity. Here's what your practice can do to stay below its radar.
Medicare and the Physical Exam; Combining Two Services
Get coding answers on Medicare and the physical exam; combining two services; pap smear and preventive services, IV infusions and more.
How Your Medical Practice Can Avoid ICD-10 Pitfalls
Transitioning to ICD-10 presents big challenges, so turn to technology to ease your coding woes.
Annual Wellness Visits; RVU Reductions; Physician Scribes
Medical coding guidance on Medicare Annual Wellness Visits; RVU reductions; physician scribes; student documentation; and more.
Improving Business Processes at Your Medical Practice
With the government trying to reduce your income on one side and possibly increase it on another, you need to keep track of your processes.
Family Planning Modifier; NPP Billing; Coding for Multiple Services
Coding questions? We've got the answers.
'Bundled' Denials; Reimbursing Calls; Same-day Visits
Coding questions? We've got the answers
Physician and Payer Relationships
Understanding third-party payers can go a long way to making your life easier.
Better Technology, Fewer Denials
With the right technology, your practice can do a better job of collecting upfront copayments, catching likely claims denials, and tracking patterns.
Preventing Claims Denials
Claims denials can hurt practice revenue, so stay on top of your billing process to collect every penny you've earned.
Chronic but Stable; Cookie-Cutter Notes; Billing for Observation Services
PayerView 2011: A Clean(er) Bill of Health
Our latest analysis of the annual ranking of payers based on hassle factor is here. The good news: Most insurers are paying faster, denying less, and making their processes more transparent. But there's still room for improvement.
Conduct a 'Bottom-to-Top' Assessment of Your Billing Operations
To stay safe and weed out the billing and collections problems stifling your practice's revenue stream, our experts recommend a "bottom-to-top" assessment of your entire billing operation.
Medicare's New Annual Wellness Visit
The Affordable Care Act added a new Medicare Annual Wellness Visit. Contrary to patient and physician expectations, it is not a physical exam.