November 11th 2024
The verdict is in for how practice's feel about their payers, and it isn't good.
June 6th 2024
The crux of payer-provider collaboration lies in alignment.
May 16th 2024
Consider the puffer fish
May 15th 2024
Here are 11 ways you can, and should, engage in grassroots advocacy for your practice, your patients and yourself.
April 9th 2024
It’s clear the state of PA must change. Artificial intelligence has a role in streamlining administrative tasks.
Keeping Up with the Copay: Health Plan Changes Always Happen
Changes to health insurance plans are hard to keep up with - for patients and even for physicians.
Workers' Compensation Plans: Getting Patient Claims Paid
Not being paid for workers' compensation claims? Here are a few areas you can look at to make sure your medical practice is in compliance and will be paid.
Tools for Payer Negotiations You Don't Even Know You Have
Payer negotiations can favor medical practices if they take steps to know more about themselves and their patients.
MGMA: ACA Exchanges, Integration Top of Mind for Physicians
MGMA executives share recent data on physician concerns about the new healthcare insurance exchange program.
Eight Simple Metrics for Monitoring Your Medical Practice
If not knowing how your practice is doing overall keeps you awake at night, it's time to start monitoring eight simple metrics for measure.
Patient Out-of-Pocket Expenses Rise, Squeezing Physician Cash Flow
The Health Care Cost Institute reports patient out-of-pocket expenses will rise 4.8 percent to $3,072 for a privately insured family of four.
Medical Billing Disputes: Finding Peace between Patients and Billers
Think it's unreasonable to expect good customer service from your medical practice's billing department? Not only is it reasonable, you should require it.
Congress Questions Security of Health Insurance Exchange Data Hub
How does a proposed data hub for newly-ensured patients affect your practice? Hint: It has to do with cybersecurity and HIPAA.
Health Insurance Exchange Information for Physicians, Patients
Your patients may be asking about health insurance exchanges. Here's how to help direct them to the right information.
Healthcare on Elysium: the Future Foretold?
While there is little to recommend this film overall, the idea of humans desperate for healthcare is not a very futuristic idea at all.
Seven Questions Physicians Must Ask Before Participating in an ACO
Don't commit to ACO participation before doing your homework. Here are seven critical questions to ask.
Health Insurance Exchanges: Good News, Bad News for Physicians
Initial estimates of new patients through health insurance exchanges are good for physicians, but maybe not so good for healthcare on a larger scale.
Four Areas to Review to Reduce Denied Medical Claims
There are at least four areas to review on a monthly basis to reduce denials at your medical practice.
What Health Insurance Exchanges Mean for Physicians
The creation of new health insurance exchanges comes with new challenges for physicians, but perhaps not immediately, say the experts.
Employer Mandate Delay: The Path to a Single-Payer Healthcare
Physician and author Elizabeth Lee Vliet says the real goal behind the latest healthcare reform delay is a federal push toward a single-payer system of care.
Is Shifting Away from Fee-For-Service Reimbursement the Best Course?
A recent survey suggests most physicians don't support efforts to move away from fee-for-service reimbursement. Do you?
Embracing 'Quality' Medicine
If you are an independently minded physician, take heart. There is a way to work with new quality standards and still retain your autonomy.
Managing Out-of-Network Charges at Your Medical Practice: 4 Strategies
To help manage out-of-network payments within your medical practice, start with these four best practices.
Mandates and Exchanges: Important Reform News for Physicians
Two elements of the Affordable Care Act - the individual mandate and insurance exchanges - are making news and have implications for physicians.
Nine Steps to Accountable Patient Care
How can physicians move from traditional fee-for-service to value-based care? It takes nine steps, says one physician.
Refunding Copays; Defining Calendar Month; Proper Documentation
Coding questions? We've got the answers.
Common Medical Coding Missteps and Remedies
Raemarie Jimenez of AAPC discusses common coding mistakes made by medical practices and how to avoid them during this webinar, recorded July 16, 2013.
Consider Antitrust Laws Prior to Entering Healthcare Collaborations
Collaborations between physicians and other healthcare entities can be beneficial …but they can also violate federal and state antitrust laws.
ACOs: Changing How Physicians Care for Patients
Watch this video to learn how participating in an ACO is affecting physicians and staff at a five-physician practice in Hunt Valley, Md.
Physician Compensation Tied to Quality, Patient Metrics 'Growing'
Analyzing Reasons for Medical Claims Denials
What are the top five codes that are likely to lead to unexpected denials at your medical practice? Let Adam Atwood of RemitDATA tell you in this audio slideshow.
How ERISA Affects Medical Practices
Here's a primer on ERISA, how it works, and what it means for you and your medical practice.
Help Medical Practice Staff Navigate the Insurance Verification Maze
Here are tips to overcome the misinformation and runaround your medical practice staff often gets when verifying insurance to get closer to an accurate payment.
PayerView 2013 Data: Best Payers
Here are the five best payers for medical practice claims in the U.S., according to athenahealth's 2013 PayerView rankings.
PayerView 2013 Data: Blues
Here are the rankings of the best Blues in the U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.