October 14th 2024
New legislation, as well as changes in patient expectations, present a host of challenges and opportunities for getting paid for service this year.
August 17th 2023
In the proposed role, CMS proposed to clarify that it is permissible to bill for RPM or remote therapeutic monitoring services, but not both at the same time.
August 14th 2023
Your weekly dose of wisdom from the Physicians Practice experts.
December 28th 2021
Here’s how to make sure your practice is in compliance with Stark regulation clarifications taking effect January 1st, 2022.
December 15th 2021
Keep on eye on these areas to avoid major financial and professional consequences.
CMS: More Simplification Ahead in Stage 3
CMS has identified three areas of the proposed Stage 3 rule that could make meeting meaningful use simpler for physicians.
Physician Bonuses Can Create Tax Liability Issues
Done incorrectly, big year-end bonuses can result in big trouble, as seen in the case of one Illinois physician.
Three Payer Contract Negotiation Strategies
Have an upcoming contract negotiation with a payer? Let Marcia Brauchler give you three key strategies before you sit down at the table.
Concierge Care Suited to Cardiology
The ongoing reimbursement challenges of medical practice today are leading cardiologists to explore concierge medicine.
Patient Payment Frustrations With Payers
Physicians are not the only ones who have difficulties with payers. Patients are being challenged with more restrictive coverage.
Keeping Up With Changing Payer Policies
Payer rules are complex and constantly change, making them difficult to follow. Here's what your medical practice should watch out for.
Retail-Based Clinics vs. Private Medical Practices
More retail-based clinics are cropping up across the country. Here's how your independent medical practice should respond.
Retail-Based Clinics: Is Care Quality a Concern?
Two physicians share their insight regarding the quality of care patients receive in retail-based clinics.
Retail-Based Clinics: Recommendations for Patients
If your medical practice is concerned about patients' retail clinic use, you may want to consider sharing these recommendations with your patients.
Physician Owned Distributorships, What You Should Know
A False Claims Act case brought by the Department of Justice highlights the importance of these arrangements.
Strategies for Dealing with Value-Based Modifiers
Value-based reimbursement programs have arrived. Physicians can react with frustration or adjust their practices to meet the new metrics for payment.
High Court Gives Teeth to Physician Exclusion Cases
Can a Supreme Court ruling on teeth whitening make the case against physician exclusion in narrow networks, exchange plans, etc.? Perhaps.
Strategies for Getting Paid at Your Medical Practice
Here are eight simple tips from practice management experts to collect more of the money your practice is owed by patients and payers.
Is This the Year the "Doc Fix" Becomes Reality?
Without a compromise by March 31, physicians treating Medicare patients will face a 21 percent reduction in payments. But there is hope.
Get Creative with Physician Compensation
Changes in healthcare mean considering different compensation models, including alignment compensation.
Concierge Medicine and Value-Based Healthcare
The new focus on value-based reimbursement models has some wondering just where and how concierge medicine fits into the new paradigm.
Parsing Medicare's Value-Based Modifier
Medicare's new value-based modifiers are complex. Here are the important points your practice should know about getting paid for value.
Why More Physicians May Be Excluded from Payers' Plans
More payers are forming narrow networks and excluding certain physicians from their plans. Here's what your practice should do about it.
Three Types of Narrow Networks Physicians Should Watch
Plans offered through the state and federal health insurance exchanges are not the only place narrow networks are cropping up.
Physicians Key in Narrow Network Pushback
Narrow networks have potential negative consequences for physicians who are included or excluded.
CMS Value-Based Modifier: Ready or Not?
Medicare's value-based modifier is a new fee schedule adjustment that will reward or penalize physicians for quality of care in 2015.
Complex Care Coordination; Counseling Code Confusion
Answers from our coding expert on questions regarding discharge code requirements; complex care coordination; and counseling code confusion.
Four Strategies to Improve Disease Management
Our healthcare system is fragmented, misaligned, full of conflicts of interest, and tragically ineffective. Here are four strategies to fix it.
Nine Important Facts About PQRS
PQRS is extremely complicated and in a state of flux. These measures are not going away and are already seeing uptake with private payers.
Texas AG Probes Physician Investment in Pharmacies
A Texas case investigating physician investment in compounding pharmacies could have nationwide implications for any form of ancillary service.
Understanding Bundled Payments
Seen as a prime solution to reducing healthcare costs, bundled payments are on the rise. Here's how to know if they are right for your physicians and practice.
The Value of Bundled Payments to Surgical Practices
Bundled payments present "significant opportunities" to surgical practices, according to consultant Jamaal Campbell. Here's why.
Does One Size Fit All in Concierge Programs?
The recent changes in healthcare are starting to create more uniformity in healthcare models; but do we still need options for MDs and patients?
My Direct-Pay Primary-Care Practice: 2 Years Out
After converting to a direct-pay practice two years ago, this physician has learned a thing or two and is glad he made the change.
Meaningful Use Facts: Medicare vs. Medicaid
Even though the incentives for meaningful use are winding down, each physician must evaluate the costs vs. benefits of implementing an EHR for himself.