Streamline Your Practice Using Technology
At least once a week I hear clients complain about difficulties they are having organizing simple work flow processes.
Preparing for RAC Audits
Medicare is getting more aggressive with audits through its Recovery Audit Contractor program. Here’s how to assess your billing procedures to avoid audits, and establish a process for when a RAC does come knocking.
Direct-to-consumer Wellness Programs
I attended a managed-care business forum in Washington a couple of weeks ago to find out what initiatives payers have been working on recently.
Payer Take-backs, Take That!
Consultant Susanne Madden offers a step-by-step guide to handling payer take-backs and not getting bullied into writing a check without researching the situation.
What’s Up With RACs?
Recovery Audit Contractor (RAC) is a term that every Medicare healthcare professional and staff member needs to know.
Marketing to Your Community
Where do your patient referrals come from? Do you know?
What Can P4P Do For You?
Pay-for-performance programs, or P4P as they are more commonly known, are designed to improve the quality, effectiveness, and safety of patient care.
Free Payer Technology
Payers have been investing heavily in technology to help manage data and keep their costs to a minimum.
Stricter Stark Enforcements
CMS has implemented changes to the rules that cover Medicare's hospital inpatient prospective payment system (IPPS) which will affect physician-hospital referrals and ancillary arrangements.
Get Involved in Healthcare Reform
Congress is still debating healthcare reform. It’s not too late to make sure your voice is heard.
Managing Multiple Plans
Last week I asked one of our pediatric clients how many plans they participated with.
It’s not too often that physicians can really come together on policy issues and make their voices heard, but there is no better time than now to do so!
Payer requests for refunds for incorrectly processed claims are endemic. But wait! There are some things you can do before you write that check.
Improve Your Bottom Line
Whenever possible, you should negotiate with your payers for better contract terms and payment rates.
An Appealing Settlement?
Likely, you’ve at least heard of the BCBS-Thomas/Love Settlement.