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How to prepare and manage payer audits

What practices need to know to understand and prepare for payer audits.

Payers

8 Patient Collection Mistakes to Avoid

December 5, 2019
  • Physicians Practice Staff

Medical practices are struggling to collect patient accounts while honoring payer contracts. Here's what not to do.

  • VIEW NOW >>

5 tips to negotiate favorable payer contracts

October 29, 2019
  • Lisa A. Eramo, MA

Negotiating with payers is not easy, but a challenge worth taking on

  • VIEW NOW >>
value based care, healthcare partnerships

Why payer-provider partnerships need more collaboration

October 2, 2019
  • Amy Amick

As payers and providers strive for value-based care, all sides need to contribute their part toward better data sharing, improving patient outcomes and delivering quality care.

  • READ >>
MIPS, CMS, Medicare, EHR

5 ways to create and implement better MIPS quality improvement strategies

September 26, 2019
  • Amy Amick

MIPS reporting is more complex now, but the more you invest in quality improvement, the stronger your outcomes will be.

  • READ >>
credentialing, technology, document acquisitions, independent practitioner

4 tips to prevent a credentialing crisis

September 25, 2019
  • Ted Gottis

Stop relying on Excel spreadsheets and calendar alerts. Improve your credentialing efficiency, accuracy and speed with technology.

  • READ >>
medical billing and collections, revenue cycle management, claims, reimbursement

Why getting claims right the first time is cheaper than reworking them

September 9, 2019
  • Timothy Mills

Medical practices continue to be squeezed by increasing costs and decreasing reimbursement, emphasizing the need for better clinical coding and editing technology that can improve claims even before they’re submitted.

  • READ >>
denied claims, resumbitting claims, physician practice, appeals, medical billing

Resubmitting claims: Get it right the second time

September 4, 2019
  • Avery Hurt

It’s crucial to have a robust program for responding to denied claims. Here’s how to build one.

  • READ >>
billing mistakes, profitability, physician practice, reduce billing errors, prac

Avoid these 5 common billing mistakes

September 3, 2019
  • Avery Hurt

A little attention to small billing mistakes can save your practice big money

  • READ >>
payer mix, revenue, physician, profit, insurers, reimbursement, fee schedule

Managing your payer mix to improve your bottom line

August 7, 2019
  • Lucien Roberts

Payers don’t dole out equal pay for equal work, so it benefits your physician practice to understand who pays what (so you can negotiate more).

  • READ >>
RCM, reimbursement, revenue, payer mix, payor agreement, payer matrix, physician

6 ways to improve your revenue cycle management

July 22, 2019
  • Brian Bellamy

Increase your medical practice's revenue by understanding payer reimbursement tactics.

  • READ >>

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