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.
Understanding Physician Co-Management Arrangements
In the new value-based reimbursement environment, co-management arrangements can align the interests of physicians and hospitals. Here's what you need to know.
Finding Work-Life Balance for Physicians Usually Means Sacrifice
Being able to decide how many days you want to see patients is great for raising kids. But, it can cramp the family budget. How do you balance both?
New Practice Models Are Gaining Acceptance in Primary Care
Our Great American Physician Survey, Sponsored by Kareo, indicates greater physician acceptance of alternate practice models to help themselves and patients.
The Sunshine Act: How to Report, Dispute Physician Payments
Not only is it important that physicians report payments via the Sunshine Act, but also verify they match the amount the gift-giver is also reporting to CMS.
Physician Sunshine Act Reviews Need to Be Done Soon
The deadline for reviewing records and reporting compliance with the Sunshine Act is Aug. 27. There are several tools to make that task easier for physicians.
RVUs Remain a Relevant System to Determine Physician Compensation
The Resource-Based Relative Value Scale, the generator of RVUs, is still viable despite the changing nature of physician compensation.
Six Areas to Boost Your Medical Practice's Value
Your medical practice's value plays an important part in its future. Here are six ways to boost your practice's value, starting today.
A New Financial Model for Primary-Care Providers
Value-based reimbursement has a bad reputation because it is misunderstood. Done correctly, through an IPA, it could be primary care’s saving grace.
Physician’s Guide to the New Consumer Market
With costs front and center for patients, in simple and stark terms: If you can’t deliver what the consumer perceives as quality, you will lose.
The Role Physicians Play in Life Care Planning
By helping patients and their families design a life care plan, physicians can help them to navigate the complexities of a catastrophic or serious injury.
Finding a Good Asset Protection Lawyer - Questions Doctors Should Ask
One of the biggest challenges facing physicians in obtaining asset protection is selecting qualified counsel. Make sure you do your due diligence.
Six Ways Patient Satisfaction Could Impact Your Practice Finances
The patient experience is playing a growing role in medical practice reimbursement, physician certification, and payment incentives.
Physician Disability Policy Check Up: Are You Covered Appropriately?
Understanding the terms and provisions within your disability policy will help you determine if you have the right coverage for your needs.
Revisions to Payment Policies in 2015 Physician Fee Schedule
Proposed changes to the Physician Fee Schedule for 2015 will affect calculation of payment rates and potentially misvalued codes.
The Primary-Care Population Health Primer
The concept of population health is straightforward. Achieving it, not so much, because it requires numerous fundamental changes in our delivery system.
The Top 4 Tips to Code Medical Time-based Services Appropriately
Except where CPT guidelines state otherwise, follow these four tips to ensure you’re reporting time-based services correctly.
Physicians Should Protect Credit Like Any Other Asset
Despite higher than average incomes and education one asset that physicians surprisingly often fail to protect is their credit.
The Basics of Making RVUs Work for Your Medical Practice
Knowing how to calculate RVU values is critical if you are going to apply them to any other applications. Here's a primer for your medical practice.
The Independent Physician’s Dystopian Future
The near future for physicians: Dying mom and pop store owners in a big-box health plan, hospital system world trading lab coats for a branded apron.
HCC Coding: 10 Tips for Top Scores
Here are 10 tips for Medicare Advantage plans and their aligned physicians to maximize revenue when it comes to Hierarchical Condition Category coding.
Real Estate Investment: How Not to Make Money Like a Doctor
Investment is a different profession than medicine, so please physicians, get help on getting the greatest returns, especially when it comes to real estate.
Physician Group Disability Coverage May Cover Less Than You Think
Four potential drawbacks of group disability protection, and what physicians should do about it.
Insurer-owned Hospital System Wars Leave Physicians in its Wake
The Highmark BCBS purchase of a Pittsburgh health system puts insurers in the thick of hospital competition and reduces physicians to the role of bystander.
How Medical Practices Can Retain Their Top Physicians
Though salary is an important factor for physician retention, money is not the only thing that matters. Here are a few other things physicians are looking for in a job.
Medicaid Expansion: Risks to Physicians
As part of its annual PayerView study, athenahealth outlines key areas where Medicaid is making business tough for physicians.
Do Rural Doctors Make More Money, Have Higher Job Satisfaction?
A look at some recent studies regarding differences between rural and urban physicians, and what they might mean for your practice.
Washington Policy Favors Hospitals, Sacrifices Private Physicians
It hasn’t dawned on Washington that hospitals and hospital systems will never commit financial suicide by reducing volume, and physicians will pay the price.
Health Insurers Using Sneaky Tactics to Intimidate Physicians
The "recredentialing trap," strict payment reviews, and fingerprinting are all underway or on the horizon as ways payers are bullying physicians.
Adding Concierge Patients to Your Practice
How one physician transitioned to hybrid concierge, and how it is affecting his practice and his patients.
Funding a Direct-pay Medical Practice
Fifteen months into a direct-pay practice, this physician recommends building a financial reserve first for any physician considering a similar path.