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.
Captive Insurance Can Bring Windfall to Physicians
Captive insurance companies allow physicians to pool their malpractice premiums, so that any risk is distributed across the group.
MACRA, MIPS, and APMs - Are You Ready?
Successfully participating in MIPS or an APM will depend on meeting new measures and thresholds. Here are six key points to consider.
The Inbox: Offsetting Declining Practice Revenue
In our recurring blog "Inbox" we share comments from physicians and practice administrators telling us what keeps them awake at night.
California Opposes Anthem-Cigna Merger
With the California Insurance Commissioner recommending the DOJ block the Anthem-Cigna merger, it seems that patients are finally being put first.
Practice Rounds: Burnout and the Opioid Epidemic Linked?
How are the opioid epidemic and the rising rates of physician burnout linked? Also, how much more do white male doctors earn than their peers?
The Over-Regulated Healthcare Marketplace
Many physicians are considering a private care model in response to growing pains stemming from healthcare reform. But how long can they function without oversight?
The Inbox: Physician Deliberations on MACRA
Family Medicine Physician Shares Doubts on MACRA
In part two of our conversation with family medicine physician KrisEmily McCrory, she shares her concerns about the cost to implement unrealistic quality metrics.
A Conversation on MACRA with a Family Physician
Physicians are frustrated with the lack of clear specifics on how they will meet quality metrics to avoid a negative payment adjustment in 2019.
Coding for Coordination of Patient Care
Physicians who spend significant time coordinating a patient's care may realize reimbursement in several ways.
Concierge Medicine Is Growing
Once thought of as elitist, more physicians are considering converting to concierge practice. Here are the numbers.
Making the Switch From Hospital to Concierge Practice
To be successful, develop a sound business plan with realistic goals and be patient while the business ramps up.
Five Things You Should Know About MACRA
Because the replacement for Medicare's SGR is complex and potentially difficult to participate in, physicians must arm themselves with knowledge.
Female Physicians and Concierge Care
Much has been made about the "woman's card" lately in the news. Does a woman's card exist in medicine?
Independent Physician Views on the Affordable Care Act
According to a recent survey most physicians rate the healthcare law favorably when it comes to increasing patient access, but not so for other metrics.
8 Things Your Medical Billing Service Should Do
A good vendor does more than just submit claims and hope for the best. Here are eight things you should expect from your medical billing service.
Population Health Strategies for Small Practices
Here are several ways even the smallest practice can effectively manage the health of its patient population.
Four Consequences That Will Derive From MIPS
The Merit-Based Incentive Program could mean more practice buyouts and increased complexity between Medicare Parts A and B.
Important Lesson for Doctors in #PanamaPapers Fiasco
Mixing secrecy, bad tax advice, and the wrong jurisdictions may prove financially fatal for American doctors who misuse offshore tools for tax evasion.
What Practices Should Know about MIPS
The Merit-Based Incentive Payment System is coming and that means physicians will be reimbursed on a different set of rules. Here's what we know so far.
Hybrid Concierge Care and Airline Travel
Much like the airlines, hybrid concierge care patients value an enhanced service experience and are willing to pay for it.
Improve Compensation by Documenting Prolonged Services
Proper documentation and reporting of codes for prolonged services allows providers to improve compensation for lengthy outpatient services.
Why Physicians Have Yet to Adopt Telemedicine
Despite the excitement surrounding the potential of telemedicine and the technology being available, several barriers are holding it back.
Four Things to Know About the 2016 OIG Work Plan
Simple Medicare Enrollment through PECOS
Enrolling or revalidating clinical staff in Medicare just became much easier for this billing services provider.
Clinically Integrated Networks Benefit Physicians
Reporting for value-based care initiatives like MACRA will start in less than a year. Smaller physician groups should be thinking about joining forces now.
Providers Share Frustrating Payer Experiences
Most providers can probably share "war stories" over frustrating experiences they've had with a payer. Here are a few we've accumulated.
Bundled Payments and Concierge Care
A new Medicare initiative will reimburse physicians for episodes of care, rather than individual procedures. A hybrid concierge model could preserve income.
Physicians Answer Questions about Locum Tenens
Sometimes the best answers come from peers who are in similar circumstances. Here are four FAQs about going locum tenens.
Basic Financial Reports for Your Medical Practice
Knowing where you should focus your attention is important. Here are six reports that will tell you what you need to know to run your practice well.