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.
Surviving at Medicare Rates: An Exercise for Physicians to Consider
Here's a five-step way to calculate the cost of your common procedures and decide if lower reimbursement is actually fatal to your medical practice.
Doctors Voice Biggest Frustrations with Practicing Medicine
The results of our 2013 Great American Physician Survey indicate how physicians' frustrations with the profession vary depending on practice environment.
Physician Compensation Tied to Quality, Patient Metrics 'Growing'
Physicians Cautioned to Scrutinize Their Carve-Out Arrangements
HHS' Office of Inspector General reiterates antipathy towards some physician arrangements that carve out federal referrals.
Best Practices for Recruiting New Physicians
Recruiting new physicians is challenging due to healthcare reform and the physician shortage. Here's how to make your practice stand apart.
Hybrid Concierge vs. Direct Pay: Considerations for Physicians
Direct pay is an emerging model of patient care facing skepticism from many practicing physicians. Here's where I think it stacks up against concierge care.
Patients, Quality Metrics Playing More of a Role in Physician Pay
Should quality measures and patient satisfaction help determine a physician's pay?
Secrets of the Medicare Physician Fee Schedule
The Medicare Physician Fee Schedule is packed with information that guides coding and leads to better reimbursement. So why not do your homework?
Three Additional Income Opportunities for Physicians
As a physician, you likely enjoy science and discovery. So put that interest to use to make additional income for you and your practice.
The Case for Higher Physician Reimbursement
Why smart policies must reward smart care by physicians.
The War on Doctors and Patients
The federal government and private payers have declared war on physicians under the banner fraud, waste, and abuse. The AMA can't help, but you can take action.
Healthcare Reform is Changing the Landscape of Medicine
Physicians will likely have a hard time embracing future changes under the Affordable Care Act as the current effects are less than desirable already.
Consider Concierge Medicine before Becoming Just another Employee
Traditionally, physicians have been self-employed, making their own practice-based decisions, but that is fading. Concierge medicine can help preserve self-employment.
Proposed Medicaid DSH Payment Cuts Will Affect Physicians
Here's why physicians may want to discuss proposed Medicaid cuts to hospitals with their employers sooner than later.
Why Concierge Medicine May Be Better Than a Large Physician Group
Some physicians who've joined large medical groups are frustrated with bureaucracy and administrative demands putting the emphasis on dollars over patient care.
Co-Management Models Can Be Profitable for Physicians
The growing movement from volume purchasing to value arrangements has made co-management more attractive. Is it right for you though?
The Government's Not-So-Secret Takeover of Healthcare
Medicare and Medicaid reimbursements have dropped to levels resembling a healthcare takeover. Why takeover, if it costs the same to get somebody else to do it?
Physician-Owned Distributorships Raise Heightened Concern by OIG
The OIG deems PODs to be inherently suspect under the Anti-Kickback Statute, so physicians should take note.
It Might Be Time for Physicians to Negotiate With Payers
With the right approach, physicians might secure better reimbursements from their payers.
Physician Payments Sunshine Act a Wake-Up Call
Here's why physicians should set their alarms for August 1, 2013, for the beginning of disclosures under the Physician Payments Sunshine Act.
New Revenue Sources for Your Medical Practice
It’s tougher than ever to make a living in medical practice, but there are ways to boost your income while serving your patient’s needs, and without working 18-hour days.
Planning for 'What If' Scenarios at Your Medical Practice
Reimbursement decline, global payments, and the shift from volume to value are all possible scenarios your medical practice should explore today.
Health Insurance Exchanges and Physicians
Health insurance exchanges, created under the Affordable Care Act, take effect in 2014. Here's what they are and what physicians need to know.
How Physicians Can Create a Plan for Financial Independence
It makes sense to regularly review your financial goals, decide if you are on a path to meet them, and if you have assembled the best team to help you succeed.
Physicians' Most Common Concierge Medicine Questions
With changes in the marketplace, more physicians are considering concierge medicine – but even more have serious questions. Here are some of the most common.
Kickback and Self–referral Statutes Physicians May be Violating
Business practices generally accepted in other industries can be illegal in healthcare, so it is important to be sure you are in compliance.
Concierge Medicine as a Consumer-based Quality Measure
There’s a lot of talk on measuring quality and performance, but it’s difficult to measure and quantify. Concierge medicine provides a true patient-centric tool.
Ancillary Medical Services: Stark Law and Ethical Issues
Physicians are being presented with chances to invest in ancillary services, but they need to be aware of all the legal issues involved to avoid potential pitfalls.
Emergency Rooms Continue to Serve as Patients' Primary-care Provider
Repeated use of emergency rooms for nonemergency care is having negative effects on our nation. But some innovative strategies to avoid this are emerging.
How Changing Reimbursement Models Will Impact Physicians
Lower fee-for-service rates and bundled payments may present challenges for physicians. So it's time to start planning today.