Payers

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.

Five ways your medical practice can better control its payer contracts and boost reimbursement.

Many of the health insurance exchange plans include high deductibles, so getting these patients to pay their portion of your fee is critical.

If your medical practice is not already recognized as a Patient-Centered Medical Home, it may be time to jump on the bandwagon.

The results of our 2014 Fee Schedule Survey are in. Here's a look at some of the key findings, and how physician practices can react.

There are several things to consider before making a change from a traditional practice model.

Knowing payers' timely filing deadlines can increase your revenue. Here's how you can work around them.

A new year yields new resolutions. Here are my personal goals for change in 2015, as well as how I hope the healthcare system will change.

Patient deductibles have gone from getting patients' "skin in the game" to being "skinned alive." Their problems are physicians' problems.

Winter weather often leads to an increase in hospitalizations. Make sure you document all preexisting conditions prior to hospitalization.

Keeping track of contract renewals can be tedious, but there are many techniques medical practices can use to simplify the task.

Having a solid plan in place and not panicking is key when you find yourself suddenly out of network with a popular insurance company.

With payer complexities so burdensome, I can see why some physicians forgo health plans altogether.

Outsourcing your billing to a third-party billing company doesn't have to hurt. Good communication is key; here are the important questions you should be asking.

Patient deductibles will continue to rise to record levels in 2015. Here's how to prepare your practice.

For hospice providers in both acute care and home settings, one item to place on your New Year's resolutions list is CAHPS Survey Implementation.

New risk-contracting discussions are now occurring between providers/hospitals and the pharmaceutical and medical device industries.

The most asked question from state legislators: Does physician quality really impact cost?

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.

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.

As the health exchange open enrollment period begins, here are some tips for managing new health insurance plans better than your practice did in 2014.

If you believe your practice is too small to warrant the attention of Recovery Audit Contractors, think again. Here are ways to prepare for scrutiny.

A new survey reveals most physicians feel Medicare quality improvement programs are ineffective, too complex, and too burdensome for physicians and staff.

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

John C. Goodman's recent Forbes article provides just one example of how the federal government hurts, not helps. Here are six ways to fix that.