Payers

Despite HIPAA protections, young adults still on parents' health policies have little privacy. In some states, that is beginning to change.

In our recurring blog "Inbox" we share comments from physicians and practice administrators telling us what keeps them awake at night.

If most doctors got three wishes from a genie, what would they be? This doctor says that he only needs one and it involves red tape.

HHS is giving $100 million to help small practices implement MACRA over five years; Zika relief funding faces hurdles in Congress.

M. Samir Qamar, a family medicine physician, made the switch to direct primary care a few years back and hasn't looked back. He explains why he loves it.

In our recurring blog "Inbox" we share comments from physicians and practice administrators telling us what keeps them awake at night.

With the California Insurance Commissioner recommending the DOJ block the Anthem-Cigna merger, it seems that patients are finally being put first.

Many physicians are considering a private care model in response to growing pains stemming from healthcare reform. But how long can they function without oversight?

Your practice's physicians may hate filling out those conflict of interest questionnaires, but they are important in complying with the federal Stark Law.

What state allows for almost 50 percent patient responsibility? Also, which services have the highest percentage of patient responsibility?

In our recurring blog "Inbox" we share comments from physicians and practice administrators telling us what keeps them awake at night.

A recent ruling from the U.S. Court of Appeals emphasizes why it's important for physicians to not cut corners.

Spending a few minutes explaining health insurance benefits to patients prior to the appointment should become a requirement.

Dr. Rebecca Fox talks about her new practice and the next steps in her healthcare journey.

In this Q&A, a family medicine doc talks about why the MACRA legislation should terrify small practice physicians from a financial perspective.

One doctor commiserates on the fact that drugs can be incredibly expensive, forcing her patients to choose between medications and paying rent.

What to know about the proposed rule on MACRA implementation from CMS, including how financially damaging it will be to solo and small practices.

Most practices know they are obligated to collect patient copays and deductibles, but few know that for certain low-income patients doing so is illegal.

Government and commercial insurers have different policies practices must know about waiving copayments. What do practices have to know?

Medical practices must make it a point to periodically review payer websites and make sure that their information is correct.

It’s hard enough as private practice doc in today’s reimbursement environment. Medical school debt can make it worse, here are tips to avoid this issue.

A guide to helping physicians better understand the process of Medicare-based reimbursement for PAs. What do you have to know?

The personal services safe harbor law exists to protect physicians from prosecution when they receive payments for legitimate services.

Private payers are finding fraud and abuse as a way to recoup funds they say were wrongly paid. Here's how to respond to these requests.

Enrolling or revalidating clinical staff in Medicare just became much easier for this billing services provider.

More insured patients will be paying more out-of-pocket expenses and higher deductibles for their care. This could be bad news for docs.

Most providers can probably share "war stories" over frustrating experiences they've had with a payer. Here are a few we've accumulated.

The price of that prescription might be weighing on your patients' minds, but let them know that by accepting it, they are helping someone in "need."

New Jersey is already a primary-care physician shortage area. A new state plan makes the problem worse by giving state employees special status.