Payers

A new year brings key changes medical practices need to know about. Here are five you should start thinking about today.

This is the year Obamacare becomes real for the general public. The day of reckoning with their employers comes later. Physicians are in the middle.

Physicians are at odds waiting for new insurance plans offered through the healthcare exchanges. Here are concrete steps practices can take now to prepare.

A recent court case in Texas looks at what defines a "serious" attempt at collecting copays before forgiving the debt. Here's what your practice should do.

Stopping consistent denials at your practice is not only possible, but necessary. Take these steps to get your first pass recovery rate above 90 percent.

With the Affordable Care Act will likely come increased patient copays, co-insurance, and deductibles. Here's how to understand what's coming and be proactive.

How confident are you that exchange will be able to accommodate all consumers who wish to purchase insurance coverage by Dec. 23?

Evaluating your payers and the technology for your medical practice are two key components of a 2014 survival plan you should address today.

With greater regularity, physicians and hospitals are receiving letters requesting proof of collection, or a sufficient attempt to collect, patient fees.

This short summary of the history and elements of physician reimbursement rates will make you better informed than most other doctors.

Your practice is likely training and testing for ICD-10 compliance, but you also need to know how to mitigate losses from denials. Here's how to get started.

2014 brings a series of changes and challenges to medical practices. Here are five steps to survive, beginning with addressing your financial plan.

Medicare physician reimbursements will be slashed by 24.4 percent on January 1. However, a new push on Capitol Hill could put a stop to it.

Physicians often feel helpless due to current payment system realities. It's important to show physicians how they can use the facts to safeguard their futures.

CMS is moving forward with a proposal to pay doctors for managing more of a patient's care outside of a face-to-face office visit.

Why the end of the year is stressful for medical billers at physician practices, and what they can do to alleviate some of that stress.

Spending a few extra minutes sharing key information about health insurance exchanges may benefit you and your practice in the long run.

UnitedHealthcare cites "funding pressure" as the reason for termination of contracts with Medicare C providers across 10 states.

Proactively identifying positive changes to make at your practice will help it stay healthy, efficient, and productive.

Working harder is not the only way to increase total income at your medical practice. Here are some other effective methods to consider.

An AMA report identifies the 10 states with the least competition among commercial payers.

Payers are cracking down on routine copay waivers. Here's what your practice needs to know.

Physicians need to talk with advisers about the new ethical and business dilemmas that will be posed by high-deductible insurance plans.

Huge government fines designed to punish marketing tactics are almost unique to the field of medicine because of the third-party payer system.

Doctors are pretty much split on whether they will accept the new healthcare insurance exchange plans. Should they?

The best advice for practices struggling with patient collections is to have a plan, make sure everyone knows the plan, and then follow the plan.

Patient visits are by necessity short on time, but that doesn't mean that practices can't take the lead in answering patient questions about health reform.

Are patient statements out of control at your medical practice? Here are some tips to clean those up and get paid what you are owed.

Pay-for-performance programs are beginning to shift to emphasize outcomes. Here's what your practice needs to know about new initiatives.

A lesson in staying calm when your day as a medical biller is nothing but frustrating.