Payers

A new Medicare initiative will reimburse physicians for episodes of care, rather than individual procedures. A hybrid concierge model could preserve income.

How can practices know what they are getting paid, if they are not tracking payer reimbursements and running financial reports?

By having an exact plan of action in place, your company will suffer less from insurance company abuse and mistreatment, and you'll be managing them, instead of them managing you.

Confused over how PAs get reimbursed in the healthcare system? Here are a few guidelines to help you out.

More administrators are threatening to kick providers out of a preferred provider network. Here's tips on how to avoid this fate.

When you are wrongfully denied for a single code or entire claim, do you know what to do?

Insurance plans are using the audit process to recoup payments for services which were preauthorized, based on charting. What should practices know?

A recent change to Medicare reimbursement of PET scans shows why physicians need to stay abreast of this kind of information.

If you think you can just outsource revenue cycle management and walk away, think again. Here are five tips to ensuring a successful partnership.

While many practices are reining in expenses, it may make sense to outsource revenue cycle management as a way to improve your bottom line.

We asked physicians and administrators what their resolutions were for 2016, either personal or professional. Here's what they said.

Practices must explore new collection strategies for patients with high-deductible plans that require more financial responsibility.

Training staff to follow payer policies makes sense, but what happens when that negatively affects patient care?

Many physicians feel that useless chart documentation has grown to consume most of the patient visit, leaving little time for patient care.

Value-based reimbursement isn't the future for physicians; it's here. It's time to tie quality outcomes to compensation.

Do yourself a favor: participate in as many quality programs as make sense for your practice.

It is predicted that 50 percent of Americans will be obese by the year 2030. It is time to increase public awareness and research into this disease.

The big bang of ICD-10 has happened. Practices should focus on getting reimbursement from third-party payers and clearing up any issues.

What is “clawback” language? It can be used by employers to make physicians recoup demands from federal and private payers.

Practitioners are used to applying SOAP notes to clinical problems, but they can be used effectively for business issues as well.

Some medical practices are cutting out insurance companies and providing services directly to employers, thereby reducing overhead and cost to patients.

Providing patients with too many options may not help them at all. Without adequate resources to make well-informed decisions, they may just feel angry.

With the healthcare exchange open enrollment period starting Nov. 1, educating your patients about the facts is vital.

Practices are going to have to accept pricing transparency experts say, otherwise they'll get left behind as consumers push this trend forward.

With the rollout of ICD-10 it's important to keep a sense of normalcy in other critical areas of your practice. Here are some ways to do that.

Helping patients manage multiple insurance plans with convoluted rules will improve their ultimate care, and also benefit your practice.

After a lengthy transition, one multispecialty medical practice is reaping the benefits of NCQA recognition as a PCMH.