Billing Compliance

Some physicians will have a lot more to worry about this year than having to lose 10 pounds or improving their healthy eating habits.

How high-deductibles and copays are straining, but also strengthening, the trust between doctors and patients.

Change is coming. A repeal of the ACA, MACRA, and other vital issues will have to stay on a practice's radar in 2017.

Sometimes CMS can unjustly revoke a provider's billing privileges. Here are a few examples.

More than 20 healthcare professionals from a hospital in Texas are being charged with a kickback conspiracy involving over $500 million in insurance claims.

Some patients are just not going to adhere to a physician's guidelines; is it fair to get penalized by CMS for that?

Calculating your practice's percent collections a different way can tell a very compelling story of the economic health of your business.

In order for there to be a "Cancer Moonshot," healthcare needs to see advancements in the operational side of the industry, too.

What can practices learn from a recent ruling by the Supreme Court on the False Claims Act? An expert weighs in.

In our recurring blog “Inbox,” we share comments from physicians and others on the results of Election Day and how it affects the future of healthcare.

This month's coding column looks at whether or not you can count addressing routine chronic conditions without a change in plan of care as E&M.

The 2017 Medicare Physician Fee Schedule (MPFS) Final Rule has been finalized and will take effect Jan. 1, 2017. Here's what you should know.

CMS is expanding the number of practices that can take part in the Advanced Payment Model pathway in MACRA.

What are the rules when it comes to completing chart notes after the time of service? Can doctors charge a copay for an annual exam?

One doctor shares her problems with insurance companies making time-consuming, non-reimbursed checklist requests of physicians.

Experts analyze the final rule adjusting Medicare reimbursement. Were there more positive or negative developments for small practices?

Based on the evolution of the field, medical billers have to adapt or they'll find themselves out of a job.

This month's coding questions tackle whether physicians in the same group practice in the same specialty have to bill as a single doctor.

Provider groups say CMS' changes to the first year of MACRA compliance reporting are a nice first step, but more needs to be done.

Bringing on a new billing partner or renegotiating the agreement with your current one? Here are four tips that will help you plan for all scenarios.

In the world of coding, here's why an attending physician is not really allowed to attest to an NP consult. Also, what are comparative billing reports?

It's fair to say that most doctors didn't get into medicine because of paperwork and regulations. Apparently however, not everyone feels this way.

CMS has altered rules around payments to hospital based outpatient departments (HOPDs), which could have an effect on a practice's value to hospitals.

A recent ruling from the U.S. Court of Appeals emphasizes why it's important for physicians to not cut corners.

It's not impossible. Smaller providers can maximize their RCM and increase their bottom line; here are seven ways to do just that.