Payers

In the era of value-based care, understanding where the patient is coming from and engaging them is as important as ever.

Did you know that your insurance payers have very specific rules that you are required to follow? Don't leave money on the table.

When it comes to payer enrollment, small practices often lack the necessary time or resources, here are some things to consider.

Small practices won't have access to a private payer's reimbursement rates, so what they are to do?

The latest attempts to repeal and replace Obamacare are no better than the health law itself.

Knowing and understanding your payer mix is critical in your business operations, and overall inflow.

Doctors are taking it upon themselves to create new payment models to better align with how they administer care.

More than 40 percent of physicians give the Trump administration an “F” in healthcare thus far. What has led to these tough grades?

Physicians continue to be bothered by government regulations and third-party interference; many give Trump administration an F thus far.

Your team of physicians, administrators and lawyers can help you get what you rightfully owe using data-driven tools.

Coding expert Bill Dacey has some of the most recent updates to the coding manual. What do you have to know for 2018?

A little time and effort by practices can save patients thousands of dollars in unseen costs.

Should you hire an in-house coder or outsource? Do you need to hire one at all? Answers to these questions and more.

High deductible health plans hit patients' wallets hard, here's how to cushion the blow for your practice.

Why you need an attorney if you are going to recoup payment from payers. It's not the same as getting money from patients.

Anti-competitive trends and consolidating hospitals purchasing physician practices, are crushing patients with higher costs and poor service.

The self-funded employer market is a good opportunity for your practice, you just have to let them know your practice is a good fit for them.

A physician receives a hefty out-of-pocket medical bill and ponders what other patients in his situation are forced to do.

Thanks to a new agreement, medical licensure issues won't hold back the growing telehealth industry nearly as much.

What is going on in healthcare right now has the potential to really affect your practice. Be ready and brace yourself for changes.

MACRA, along with value-based payments, have the ability to produce significant population health improvements, here's how.

Using telehealth services? Here are the basics on reporting this to Medicare, in order to get properly paid.

Dr. Daniel Hoffman's guide on what to do if your patient has to leave your practice, for one reason or another.

Regardless of who the payer is or the stated purpose, every potential audit inquiry should be taken seriously by your practice.

Have you gotten a notice that you are being sued for malpractice? Here are some steps you should take, experts say.

As a solo physician, it's not easy to drop an insurance plan when you know that could have a negative impact on your patients.

Knowing you practice's accounts receivable is critical, and knowing how to manage it is key to your bottom line.

Almost three weeks after the bill narrowly passed through the House, the bill's CBO score was made public, drawing criticism.

In our recurring blog "Inbox," we get reader feedback on the future of healthcare reform.

Why this is a challenging time for providers who are finding themselves penalized excessively by CMS and without appropriate recourse or justice.