Physician Compensation

Large medical groups are beginning to explore the pros, cons, and feasibility of concierge medicine.

CMS issues proposed two-midnight rule modifications and the reduction in the role of recovery audit contractors.

Medical practices need to focus more attention on the specificity and completeness of their diagnosis coding in order to be compensated fairly.

There are multiple health insurance plan mergers looming right now, here's how they may affect your practice.

Healthcare policies and laws that favor special interests are bad news for physicians and the public. New Jersey is a more extreme example.

Independent integrated networks are being driven by independent physician organizations, coalitions, and alliances between physicians themselves.

By reviewing your fee schedule and comparing it to accounts receivable, you may find hidden money that you didn't know about.

When it comes to considering concierge medicine, many physicians want more information before making the change in their own practices.

The OIG fraud alert warns physicians to be wary of compensation arrangements that could violate the Anti-Kickback Statute.

A change in coding for behavioral screenings illustrates how payer payment policies negate any big-data promises of ICD-10.

Sometimes, you have to add a little muscle to the way your staff approaches patient payments and other collections for your medical practice.

Pay-for-performance programs often set up complex metrics to define quality, when simple solutions to the initial problem would be far more effective.

Practices can often feel helpless when it comes to working with payers. Here's how they can change that dynamic and become empowered.

Physicians feel at a distinct disadvantage when it comes to working with payers.

Patient satisfaction is doubly important now that it is a payment metric. Make sure you are doing everything possible to get the top scores you deserve.

Younger docs tend to favor a productivity model, while older physicians may prefer a set compensation model. How do you reconcile the two views?

A little preparation by your practice before reaching the negotiating table with payers could mean a big difference in reimbursements.

One of our payer quality metrics is more like student standardized testing - the intent is good, but the result is a poor indicator of true success.

Why one physician opened a direct-pay primary-care practice and how he did it.

The Doc Shoppe, a direct primary-care practice in Corbin, Ky., offers three membership levels for individuals, families, and small businesses.

Trying to decide between direct primary-care practice and concierge medicine? Here are some of the key differences between the two models.

You may want to help patients experiencing financial difficulties and you can, but be sure to do it the right way to avoid a payer audit and penalty.

From actually locating your payer contracts to making negotiations effective, here are five strategies for your medical practice.

With patients taking on more financial responsibility, have a strategy in place to collect what you are owed.

A few trends affecting payer contracts can't really be resolved with better organization, but should be kept in mind.

A recent U.S. Tax Court ruling should provide food for thought for physicians accepting guaranteed bonus payments from their hospital employer.

To stay solvent, practices will need to work smarter and refine staff roles so that all employees are working to the top of their license.

The OIG may very well be signaling its intention to hold boards, or even individual board members, responsible for oversight responsibility for their organizations.

Using available data to identify potential high-risk patients before they become high-cost patients can reap rewards for accountable care organizations.

Paying primary-care physicians more is a proven winner, but a Michigan study indicates that health plans playing penny-ante get what they pay for.