March 21st 2025
Discussing costs with patients is a conversation many physicians avoid, but they're doing their practice a disservice.
January 16th 2025
Company aims to make claims appeals easier and quicker for physicians by having AI do much of the work
March 29th 2024
Navigating payer denials requires the most expertise to handle within revenue cycle management
December 11th 2023
Recover revenue by utilizing proactive measures and technological solutions to navigate this difficult terrain.
September 9th 2019
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.
12 ways practices can improve clean claim ratios
Submission of incomplete or inaccurate claims results in claim denials, delayed payments, and additional work for staff. Here's how you can minimize claim denials and ensure timely payments for your practice.
Tackling the biggest problems with your billing
Adding appropriate technology to your practice can have profound effects on the well-being of your operations, allowing your workforce to focus on what they do best while you concentrate on patient care.
The leading causes of denials and how to prevent them
Denials are a painful - but preventable - financial drain on practices.
5 keys to collecting patient responsibility upfront
Ensure your practice’s long-term health by educating patients about their financial responsibility and staff on how to improve medical billing and collections.
5 ways to use KPIs to increase your revenue
Collecting patient payments can be a challenge for medical practices that aren’t operating at maximum efficiency. Review some key performance indicators to identify and improve processes.
Five reasons to say no to payer contracts
A payer contract is more than a mere fee schedule. There are several other factors to consider when deciding to keep or terminate a payer contract.
Coding questions on Medicare denials, TCM billing
Coding expert Bill Dacey answers your latest coding questions, including an inquiry on why Medicare denied an initial visit claim.
When it doesn’t pay to treat patients
Practices sometimes can’t afford to administer treatment to patients given the risk of denied reimbursement claims.
The Extinction of Doctors' Gut Instinct on Medicine
Payers have made it so doctors cannot go with their instincts when caring for a patient and that's a shame.
5 Must-see Coding Strategies for your Practice
The coding rulebook is always changing. Here are strategies from our two coding experts to help you stay compliant.
Post ICD-10 Grace Period, Practices Coding Faster
A new infographic from RemitDATA reveals practices have seen improvements in processing speed, denials, and more since the end of the ICD-10 grace period.
5 Specialties with the Highest Denial Rate in 2016
A new infographic from RemitDATA reveals which five specialties and five procedures had the highest denial rate in 2016, as well as the five most common reasons why.
Coding E&M for Preventive Services
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.
9 Tips for Surviving after the ICD-10 Grace Period Ends
While the ICD-10 grace period was relevant to only CMS, there is still work to be done. Here are nine steps practices can take to ensure post Oct. 1, they are ready.
How CVS Dealt a Blow to Physician Autonomy
The retail pharmacy chain recently replaced an established drug with a replacement. It's a move that, in one doctor's opinion, usurps physician autonomy.
Fighting Back Against Insurer Recoupment Demands
Two lawyers share a way that healthcare providers can challenge insurer recoupments in the ongoing struggle with payers relating to provider reimbursement.
Longing for a Simpler Time in Medicine
This MD misses the day when the decisions in care were made by her - the doctor - and the patients. Today, the insurance company has a say.
Payers Won't Always Be So Lenient in ICD-10
During these early days of ICD-10 payers are accepting codes that aren't quite as specific as they should be. This won't last forever.
Cautious Optimism in the Early Days of ICD-10
The early returns on ICD-10 from payers and a clearinghouse have been positive. Yet, no one is ready to pop the champagne and celebrate quite yet.
Most Commonly Unexpected Denied Procedures: Aug. 2015
What were the top five most commonly unexpected procedures that were denied in August? RemitData laid out all the answers in this infographic.
ICD-10: Don't Let Denied Claims Stick Around
Creating a game plan for dealing with an increase in denied claims during the first few months of ICD-10 can save you money and headaches.
Ten Tips to Getting Paid at Your Medical Practice
Patients and payers are your two main practice revenue sources. Here's how to collect more for the work you do every day.
Approaching an ICD-10 Implementation with Confidence
Here are 11 tips to ensure your practice will be on track for a successful ICD-10 transition come Oct. 1, 2015 and beyond.
CMS Answers Calls for ICD-10 Safeguards
While recent concessions made by CMS on the ICD-10 transition may relieve stress for practices making the transition, some say it’s not enough.
The Front Desk: Your Defense Against Claims Denials
Incomplete or inaccurate patient information can set the stage for a claim denial before a visit. Avoid these mistakes at the front desk.
Communication Key to Improving Physician Documentation
Lack of feedback from back to front office on coding issues perpetuates a cycle of denials. Here are five tips to help get claims paid the first time.
Medical Claim Denials and Remedies: Trends for Spring 2015
Get insight on the most common unexpected denials at practices nationwide, with a special focus on endocrinology, from RemitDATA.
PayerView 2015: Major Payers
Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the "major payer" category for 2015.
PayerView 2015: All Payers
Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the "all payers" category for 2015.
PayerView 2015: Blues
Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the Blues category for 2015.