April 24th 2024
The crux of payer-provider collaboration lies in alignment.
April 9th 2024
It’s clear the state of PA must change. Artificial intelligence has a role in streamlining administrative tasks.
March 15th 2024
Negotiating your payer contracts is the ticket to the money you deserve.
October 24th 2023
Payers are seeking to eliminate payments for care they deem unnecessary.
October 23rd 2023
These tips can make your next payer negotiation a bit more of a breeze.
Payer Negotiation: A Little Preparation Goes a Long Way
A little preparation by your practice before reaching the negotiating table with payers could mean a big difference in reimbursements.
When Measuring Care Quality, Some Contracts Miss the Mark
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.
Maximize Revenue: Tips for Tracking Claims and Denials
Stay on top of your claims and denials with these four tips to spot problems early and maximize payer reimbursement.
Waiving Patient Payments a Kind, but Problematic, Gesture
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.
Five Ways to Better Manage Payer Contracts
From actually locating your payer contracts to making negotiations effective, here are five strategies for your medical practice.
Payer-Provider Relationships: 3 Key Strategies
A few trends affecting payer contracts can't really be resolved with better organization, but should be kept in mind.
ICD-10 Readiness Testing: What, Who, and When
Reduce the number of unpleasant surprises when the ICD-10 coding system goes live in October by starting tests now.
Staffing Your Medical Practice for the Future
To stay solvent, practices will need to work smarter and refine staff roles so that all employees are working to the top of their license.
2015 Staff Salary Survey Results: Regional
Regional medical practice data from the 2015 Staff Salary Survey, exploring compensation levels for key medical practice staff based on years of experience.
2015 Staff Salary Survey Results: National
Complete national medical practice data from the 2015 Staff Salary Survey, exploring compensation and related trends.
5 Common Medical Practice Denials and Remedies: Feb. 2015
RemitDATA's Aaron Hood explores the most common unexpected denials at practices nationwide, with a special focus on radiology.
Study: You Pay for What You Get with Payer Incentives
Paying primary-care physicians more is a proven winner, but a Michigan study indicates that health plans playing penny-ante get what they pay for.
When a Preventive Visit Uncovers a New Patient Complaint
It's possible to be reimbursed for a preventive visit and a problem-focused visit performed on the same day, but proper documentation and coding is critical.
High Court Gives Teeth to Physician Exclusion Cases
Can a Supreme Court ruling on teeth whitening make the case against physician exclusion in narrow networks, exchange plans, etc.? Perhaps.
Why We are Fighting for a Single Payer Healthcare System
For us, the health insurance companies represent a huge problem. We believe the solution is single payer, and we’re doing something about it.
Strategies for Getting Paid at Your Medical Practice
Here are eight simple tips from practice management experts to collect more of the money your practice is owed by patients and payers.
Why I have Serious Doubts about the PCMH Model
I hate to think that medicine will become like a cookbook, because there are so many things that just don’t fit inside the box.
Six Things to Know About the Next Generation ACO Model
CMS' newest shared-savings payment and delivery care model features higher risks and higher rewards. Here's how it differs from current ACO models.
Five Common Payer Denials and Remedies: January 2015
RemitDATA's Aaron Hood explores the most common unexpected denials at practices nationwide, with a special focus on OB/GYN.
Parsing Medicare's Value-Based Modifier
Medicare's new value-based modifiers are complex. Here are the important points your practice should know about getting paid for value.
Why More Physicians May Be Excluded from Payers' Plans
More payers are forming narrow networks and excluding certain physicians from their plans. Here's what your practice should do about it.
Three Types of Narrow Networks Physicians Should Watch
Plans offered through the state and federal health insurance exchanges are not the only place narrow networks are cropping up.
Physicians Key in Narrow Network Pushback
Narrow networks have potential negative consequences for physicians who are included or excluded.
Assessing ICD-10 Readiness and System Testing
An important part of ICD-10 readiness is ensuring all hardware and software is evaluated via a systems inventory.
'Mix and Match' Documentation for Higher Reimbursement
Physicians may find that revised coding guidelines allow their coding and billing to better reflect the documented level of service provided.
The Effect of ICD-10 on Your Medical Practice Budget
You've budgeted for training and software upgrades, but there are less tangible costs attributed to the ICD-10 transition. Here's how to prepare.
The Doctor Knows Best
The growing list of payer demands continues to drive medical decision making. It can also impede patient care and hasten physician burnout.
5 Common Medical Practice Denials and Remedies: Q4 2014
RemitDATA's Aaron Hood explores the most common unexpected denials at practices nationwide, with a special focus on family medicine.
Cost Accounting in the Medical Practice via RVU
Using RVUs to conduct a cost analysis at your medical practice is not only cheap and easy, it is very effective at assessing the value of your payer contracts.
Physician Reimbursement Changes: 5 Ways to Gain Control
Five ways your medical practice can better control its payer contracts and boost reimbursement.