Finance

Coding for TCM services should include global periods; dates of service; and correct documentation.

TCM helps patients transition from the hospital to the community. Many physicians, however, miss deserved reimbursement because they lack documentation.

Patient can be irate when it comes to higher than expected bills. This practice found the best way to address the issue is to be frank.

How can administrators bring together physicians, advanced practitioners, and nurses, and create a culture of collaboration?

Patients can understand so little about their health plan that the billing department is automatically blamed when something goes wrong.

What state allows for almost 50 percent patient responsibility? Also, which services have the highest percentage of patient responsibility?

Practices need to expand their leadership capabilities beyond clinical-minded decisions. They have to focus on business management, too.

Vendors' products and services directly impact a practice's day-to-day operations. Here's how to be establish efficient vendor relations.

Spending a few minutes explaining health insurance benefits to patients prior to the appointment should become a requirement.

Physicians are frustrated with the lack of clear specifics on how they will meet quality metrics to avoid a negative payment adjustment in 2019.

This doctor says one patient's care plan reemphasized why he has continued to stay independent in the era of consolidation.

Physicians who spend significant time coordinating a patient's care may realize reimbursement in several ways.

Because the replacement for Medicare's SGR is complex and potentially difficult to participate in, physicians must arm themselves with knowledge.

A good vendor does more than just submit claims and hope for the best. Here are eight things you should expect from your medical billing service.

When you read reviews on online review sites, you typically read about the physician. But have you ever read how awesome the billing experience was?

Our coding expert discusses what to do when Medicare denies a consult code; preparation for Medicare chart audits; and coding for unusual services.

Doctors are dealing with more outside forces than ever before, like third-party and government payers. Here's why they have to organize.

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

As physicians create joint ventures and Accountable Care Organizations, what do they have to know about structuring a new entity?

In the second of a two-part interview with a CMS representative, more on the legal ramifications for waiving copays for low-income patients.

Most practices know they are obligated to collect patient copays and deductibles, but few know that for certain low-income patients doing so is illegal.

Government and commercial insurers have different policies practices must know about waiving copayments. What do practices have to know?

Here's why you should ignore "Incident to" Billing for PA services, which require a significant amount of additional work without a fair return in revenue.

With the drive to consolidate healthcare delivery, physicians are more often required to refer patients to in-network specialists.