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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

Rarely does the federal government hand physicians a tool that makes life a little better. That’s what OIG Opinion 12-22 does, and now data backs up the theory.

What do "tidings of comfort and joy" have to do with patient care and reimbursement? A lot can be gleaned from these five words.

A new rule by CMS to punish "bad actors" and new concern with the Independent Payment Advisory Board highlight the problem with Medicare and Medicaid.

As the New Year approaches, it is best to re-verify patients' insurance benefits to avoid a poor customer experience.

BCBS of Massachusetts' quality and cost experiment touts spending reductions that insult physicians' intelligence.

RemitDATA's Aaron Hood explores the most common unexpected denials at practices nationwide, with a special focus on internal medicine.

A pillar of the Affordable Care Act, "personal responsibility," changes the issue from keeping a doctor to affording one for most working families.

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