Billing Compliance

Medicare has amped up its efforts to collect debts related to alleged billing/coding errors, which is hurting providers in the pocket.

To achieve revenue growth goals, practices should look at these five key areas and see where they currently stand.

Breaking down how the latest proposed rule from CMS could impact physician self-referral regulations and what it means for physicians.

I have a 95 percent success rate when attempting to gain “approval” for medically needed testing. Here are some of my success strategies.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the company's top 5 for categories including Blues, and regional.

What bundled payments are, how they work, and how they might affect your practice.

Here are the five best payers for medical practice claims in the U.S., according to athenahealth's 2013 PayerView rankings.

Here are the rankings of the best Blues in the U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.

Here are the eight best major payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.

Here are the best Medicaid payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.

Here are the best Medicare payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.

Here are the rankings of the best payers in the Midwestern U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.

Here are the rankings of the best payers in the northeast U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.

Here are the rankings of the best payers in the southern U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.

Here are the rankings of the best payers in the western U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.

Here are the five worst payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.

Physicians should think twice before doing business with laboratories that offer the opportunity to profit from your business relationship.

Some of the key items outlined in the Physician Payment Sunshine Act final rule and how physicians can prepare for enforcement.

When considering charge capture, it is important to be proactive to avoid missing revenue opportunities.

Many medical practices are billing for Medicare's AWV without providing a detailed and personalized plan at the visit. Here's what they should do.

From increasing HIPAA training among staff to stepping up billing compliance efforts, here are key action steps to consider making in the New Year.

A recap of this year’s most popular blogs and some of the key lessons that can be learned from each.

Nonphysician providers can help counteract the physician shortage, but be sure to consider these important legal requirements when employing them.

While the ICD-10 compliance date is nearly a year away, now is the time to begin training and education planning. Here are some tips.

Though CMS just delayed the ICD-10 implementation date; physicians should start preparing for the switch now. Are you?

Referrals to home health agencies are on the rise, as are allegations of kickbacks for said referrals. Here's how to work with HHAs within legal boundaries.

Don't let your practice be caught up in Medicare's recovery program. It's a simple matter to examine your own coding patterns and compare them to national utilization data.

Here is an easy and quick tip that will immediately increase your inflow with minimal time and effort from treating staff at your medical practice.

CMS is stepping up efforts to ferret out fraud through its new Center for Program Integrity. Here's what your practice can do to stay below its radar.

Which tech tools are must-haves? And how much are practices paying for all those tech goodies? Our annual survey of more than 1,300 practices has the answers.