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Payers

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.

Payers

Physicians in small practice need to explore how they can survive in a changing financial environment.

Confused about how the healthcare system is going to change? Let's follow the money to find the answers, starting with recent news from CMS.

I have a 95 percent success rate when attempting to gain “approval” for medically needed testing. Here are some of my success strategies.

If you have been terminated by a provider, or notified you will be terminated, here's what you should know to know your recourse as a medical practice.

RemitDATA's vice president of product management, Aaron Hood, explores the most common unexpected denials at practices nationwide, focusing on endocrinology.

Small unpaid claims can add up to big problems for your medical practice. Here's how to find the best partner to collect what's owed for your medical services.

Here are two key areas where CMS could make adjustments to home health regulations that would benefit not just home health, but the industry in general.

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