February 21st 2025
Step therapy protocols not only delays necessary treatment but can lead to adverse reactions that ultimately increase rather than lower health care costs.
February 13th 2025
What payers need to do to improve relationships with practices.
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
Physicians Sick of Jumping Through Hoops to be Paid
Physicians have to jump through more hoops than ever to be paid. Is there an end in sight?
Keeping Physicians in the Cost-Savings Loop
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.
HHS' Short-Term Insurance Proposal Draws Criticism
A new proposal from the Trump administration aims to improve insurance options for patients, but some are concerned it will just raise premiums.
Balance Billing and Surprise Billing: Developing Issues
If you aren't a patient isn't on your insurance panel, for whatever reason, how can you expect to be fairly paid?
Why Practice Owners Should Project Inflow Monthly
You don’t know how much money you have in the bank. What if I told you, you can calculate a projection of your inflow for this month?
Giving Primary Care to the Uninsured Patient
With more patients likely to be uninsured due to the individual mandate repeal, here are creative ways of providing cost effective primary care.
An Important Financial Metric Your Practice Should Track
Instead of funneling a bunch of capital into your practice on a monthly basis, how about cleaning up your DSO?
CDC Director Resigns from Post
More shakeups in the Trump administration's HHS with Brenda Fitzgerald, MD, resigning amid reports she traded in tobacco stocks.
Online Reviews: Payers Are Paying Attention Too
Online reviews are no longer a forum for patients to judge you, payers are increasingly making them a priority.
Payer Demands on a New Code are Unknown
In this month's coding column, expert Bill Dacey says requirements around the new code 93793 are unknown.
Modify Collection at Your Practice
Stay on top of your collection practices using training, technology, and communication.
A Shifting Patient Population for this Doctor
A new year means some patients will have new insurance plans, meaning a lot of transition for this doctor's practice and his patients.
AMA, Others Take on Onerous Prior Authorization Process
The AMA and other healthcare stakeholder groups announced their intention this week to streamline the prior authorization process for physicians.
This Doctor's Least Favorite Time of Year
Dr. Melissa Young shares with us why January is her least favorite time of the year - from cold weather to unmet deductibles.
Trends for Physician Practices in 2018
Here are some of the top trends to keep an eye out for in the healthcare industry during 2018.
Behavioral Health Gains Momentum in Reimbursement
Three initiatives are changing the momentum for behavioral health and chronic care reimbursement.
Updating Your Fee Schedule: Now Is the Time
It's the time of year to update your fee schedule. Do you know where to find your contracted rates?
The Extinction of Doctors' Gut Instinct on Medicine
Payers have made it so doctors cannot go with their instincts when caring for a patient and that's a shame.
Top Healthcare News Stories of 2017
The year was full of plenty of headline news events surrounding the Affordable Care Act, HHS, opioids, and more.
Reasonable Charges for a DPC Practice
There are significant decisions a physician must make when setting up a DPC practice. Here are a few you must decide.
Understanding Your Practice's Bottom Line
A medical practice is a business and cash flow matters. Here's how to be sure you thoroughly understand your bottom line.
Taking the Money Out of Medicine
This doctor fears money may be leaving medicine, should more physicians be worried?
Weight Loss Counseling and Maximizing Reimbursement
With more than 70 percent of Americans overweight, we are in a serious population health challenge, don't let the high fiscal cost affect your practice.
Leaving Innovation at the Exam Room Door
Doctors would love to treat disease and care for patients with the latest technology and medication. Too bad innovation is thwarted in healthcare.
Payer Enrollment Tips for Small Practices
When it comes to payer enrollment, small practices often lack the necessary time or resources, here are some things to consider.
Supply and Demand Solutions to Physician Burnout
A physician shortage may be contributing to burnout, but help is on the way-and creative staffing might keep you going until it gets here.
The Madness of a New Type of Practice Model
This doctor finds out about a new type of practice payment model - an idea that's completely foreign to her. Third-party payers stay away!
CMS Publishes its 2018 MACRA Final Rule
Insight into CMS' 2018 MACRA final rule released earlier this week.
Preparing Your Practice's Annual Business Game Plan
With year-end coming up fast, now is the time to assess your business practices. Here are some thoughts.
Best States to Practice: Best and Worst
Here is an in-depth look at the top five and bottom five performing states in all Best States to Practice categories.
Redefining biometrics & liability implications
What the Trump tariffs mean for independent practices
How to approach strategic planning in uncertain times
8 steps to address a bad review of your medical practice