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.
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.
Regulations to Consider Before Opting Out of Medicare
Physicians considering changing their status as enrolled and participating Medicare providers must be aware of their options and legal requirements.
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.
Eliminating Your Medical Practice's Aging Accounts Receivable
With the following tips, it's not only possible, but quite probable in the near future, you can eliminate your accounts receivable in the 120+ day category.
The Case for Higher Physician Reimbursement
Why smart policies must reward smart care by physicians.
Stark, Anti-Kickback Laws Could Get Murkier Under Affordable Care Act
With health insurance exchanges on the horizon, some controlled by HHS, will federal laws fighting fraud and abuse have new teeth for physicians and practices?
As Full Healthcare Reform Approaches, Things Physicians Need to Know
The Affordable Care Act contains provisions that will impact physicians, even if you aren't in an accountable care organization.
A National Dilemma: Three Possibilities to Fix Healthcare
Here's a look at the pros and cons of three possibilities to fix the healthcare cost dilemma in the United States.
Three Alternatives to Medical Practice Consolidation
Consolidation will probably continue to be a strong trend, but it is not the only available option.
Legal Considerations Prior to Practicing Telemedicine
Opportunities to practice telemedicine are emerging due to improved technology and reimbursement. Still, there are some legal issues to consider.
A Look at the Average Day of a Medical Biller
Take a peek inside the diary of a medical biller to see what really happens each day at her desk. Chances are, the same thing is happening at your practice.
Healthcare through the Lens of Socialism, Communism, and Capitalism
Antiquated though the distinctions between socialism, communism, and capitalism may seem, healthcare would do well to keep one eye on lessons learned long ago.
Five Ways to Streamline Patient Appointments
When you find your medical practice constantly behind, unorganized, and frazzled at the end of every day, maybe it's time to take a look at your work flow.
Proposed Medicaid DSH Payment Cuts Will Affect Physicians
Here's why physicians may want to discuss proposed Medicaid cuts to hospitals with their employers sooner than later.
Gloves Are Off in War between Payers, Providers
Healthcare is quickly becoming a war of all, against all, turning physicians, hospitals, insurers, drug makers, and device makers into blood rivals.
Four Reasons Private Medical Practice is Becoming Extinct
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
Five Ways to Get Claims Paid at Your Medical Practice
Getting paid by insurance companies can be like fighting a war. Here are my top five weapons to manage accounts receivable and get what it is owed from payers.
Surviving a Payer Claims Review Audit
When it comes to audits, "payers are sneaky and relentless, because they have everything to gain and nothing to lose," notes consultant Angela Miller.
Reimbursement Model Trends by Medical Practice Size
Our 2013 Staff Salary Survey results can help you determine how your practice’s reimbursement model compares to practices of similar sizes.
Health Risk Assessments Should Be Done by Primary Care Providers
Primary-care and annual wellness visits are essential to the future of healthcare quality and decreased costs, and third-party providers shouldn't disrupt that.
Seven Constructive Ways Physicians Can Respond to Reform
Economic and regulatory pressures are hitting physicians hard. Here’s how to react in constructive ways.
ICD10: Payers, Unspecified Codes, and Preparing Providers
AHIMA's Kathy DeVault explains how to work with payers on the ICD-10 transition, including use of unspecified codes, and how to best prepare providers.
Answering Insurance Questions from Your Patients
Patients are in a panic over shifts in their insurance plans and looking to you for deciphering. Here's how to provide great customer service to assist them.