Payers

A recent court ruling illustrates the risk of failing to place behavioral health coverage needs ahead of financial interest.

Don’t settle for a bad deal. Boost your profits by renegotiating your payer contracts.

Don’t take ‘no’ for an answer: promptly and properly resubmitting claims is crucial to your bottom line.

Ensure your practice’s long-term health by educating patients about their financial responsibility and staff on how to improve medical billing and collections.

Six tips that can help physicians collect on services not covered by third parties.

The ongoing battle to get patients the treatments they need is a major contributor to physician burnout.

In order to justify the Level 4 E/M visit, make sure you have recorded all necessary information-and clearly label it for the payer auditor to easily find.

How to code varies on the circumstances. Many coding scenarios are determined by context-not absolutes.

Credentialing a new provider is a tedious and slow process in which every false step or delay can cost you money. These seven tips can expedite the process.

When the punishment of Sisyphus is actually preferable...

A few tweaks to your billing and collection routines could make a huge difference in your bottom line. 

Don’t forget your practice’s billing and collections when writing your New Year’s resolutions. 

How do you post charges, payments, and adjustments in value-based payment models?

Here's yet another reason why medical shows on TV are so unrealistic. 

Proper billing and coding under CMS’s final rule is important not only for reimbursement but also to avoid potential lawsuits.

Collecting patient payments can be a challenge for medical practices that aren’t operating at maximum efficiency. Review some key performance indicators to identify and improve processes.

A payer contract is more than a mere fee schedule. There are several other factors to consider when deciding to keep or terminate a payer contract.

Before heading to the table, draft a game plan to be a tough negotiator with payers.

It’s important to remember what you bring to the table before negotiating payer contracts.

Physicians must take action and try to get paid accurately for their services.

Unfortunately, preventative care doesn't prevent physicians from dealing with reimbursement woes.

Sometimes, the difficulty in treating patients lies in knowing how to code their ailments.

Negotiating with health plans is not about who you are or what you do. It is about fair compensation for what you deliver.

You may be able to negotiate for better reimbursement. Here’s what you need to know to improve your chances of success with payers.

One physician finally succumbs to adjusting her work schedule to reduce burnout-sort of.

President Trump relieved David Shulkin, MD, as Secretary of Veterans Affairs (VA), replacing him with White House physician, Rear Adm., Ronny Jackson, MD.

Physicians are stuck choosing between the lesser of two evils when it comes to payments and reimbursement.

Despite spending the most on health care, Americans experience shorter life expectancy, higher obesity rates, and a higher rate of infant death.

Physicians have to jump through more hoops than ever to be paid. Is there an end in sight?

Healthcare organizations are always looking to save money, but physicians rarely know the effect of their treatments or medications. Here's how to change that.