Payers

An administrative director reflects on the many emotions of collecting money from payers and patients in today's healthcare climate.

Uncertainty about the future of the ACA means continued concerns about initiatives already underway.

Everything you want to know about coding a transitional care management encounter, including what services are included.

The American Health Care Act has passed the House and moves to the Senate, despite ardent opposition from the AMA and other physician groups.

An in-depth look at maximizing your quality component on the MIPS pathway of MACRA. How do you choose the right measures?

A recent survey explores how patients and practices don't see eye to eye when it comes to billing and payment.

There are several redundant questions and processes when trying to obtain a prior authorization. It needs to be simplified.

A healthcare professional takes time to address some of the misconceptions patients may have when they present for care.

Providers, preparing yourself for upcoming credentialing and revalidations is important. Don't forget!

Uncertainty of the ACA aside, a new survey indicates most payers will stay in health plan exchange next year.

Unaffiliated ERs are becoming popular due to their convenience, but are the high prices worth the level of care?

Today's practice must be in tune with the reality of healthcare consumer demands, including using electronic billing services.

Concierge medicine is one model a private practice physician should consider if finances become tight.

Do you have fail-safe measures in place that alert you when a payer is withholding your payments? If not, it's time to make a plan.

The AHCA would have likely brought back "post-claims underwriting," which would have been bad news for physicians.

A new infographic from RemitDATA reveals practices have seen improvements in processing speed, denials, and more since the end of the ICD-10 grace period.

This month's coding column: What do physicians have to know about coding for telemedicine visits?

Feeling burnout symptoms, physicians nationwide are changing their practice models to subscription-based clinics.

A recent research effort has uncovered that the number of physicians has actually gone up during the Affordable Care Act era, despite claims to the contrary.

If you are feeling burned out from the demands of insurance, EHR documentation and more, consider a subscription practice. Here's the good and bad.

By thoroughly understanding your payer contracts, you take a step towards insuring timely and accurate payments.

Insurance companies are grading you. You may know this, but do you know how to change your score?

Two major medical groups are speaking out about the GOP health bill. The AMA say it's critically flawed, while MGMA is taking a more measured approach.

The complete results to the 2016 Fee Schedule Survey on how much practices get paid for common services from payers.

Physicians often look at their relationship with payers through an us vs. them mindset. That's the wrong tract to take says one doc.

Value-based care is a scary prospect for many physicians. Here are seven reasons why they shouldn't be afraid.

The words "repeal and replace" were thrown around during the campaign, but the reality is much more unclear for government officials.

The current state of our relationship is an illogical, Kafkaesque nightmare with a deadbeat. Yes, we're talking about you, payers.

Data-sharing collaborations between payers and providers have potential to improve the bottom line for healthcare organizations and the health of their patients.

Can small practices make it in a value-based world? Payers and experienced practices explain how this shift is possible.