How to Work With New Reform-created Patients

To survive a potential influx of patients from healthcare exchanges, practices must focus on a few key areas, experts say. Communicate with patients; monitor payer mix; and manage billing and collections.

ALSO: Our 2014 PayerView data, by athenahealth, provides insight on how easy or hard it is for your practice to work 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.

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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.


Stay on top of your claims and denials with these four tips to spot problems early and maximize payer reimbursement.

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.

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

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


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