Finance

It’s hard enough as private practice doc in today’s reimbursement environment. Medical school debt can make it worse, here are tips to avoid this issue.

Do you know why you shouldn't waive patient copays? Take this short true and false quiz to find out what you really know.

It comes naturally to want to help your poorest patients. But before waiving patient copays, consider the legal consequences first.

When you look at your cash inflow each month, are you disappointed? That's why it is so important to identify why your claims are being denied.

Since the implementation of the ICD-10 coding system, most claims are processing smoothly and rejection rates have been minimal.

Answers from our coding expert on questions regarding incident-to billing; time-based coding; and specificity in ICD-10.

To succeed in an accountable care organization, practices have to dedicate resources to the high-cost, frequent utilizers of care.

Enrolling or revalidating clinical staff in Medicare just became much easier for this billing services provider.

With some planning, staff cooperation, and the right technology vendors, one practice shows that getting patients to pay can be done more effectively.

More insured patients will be paying more out-of-pocket expenses and higher deductibles for their care. This could be bad news for docs.

If your practice hasn't already, make sure to hire an outside auditing firm to review your billing records for possible overpayments.

Most providers can probably share "war stories" over frustrating experiences they've had with a payer. Here are a few we've accumulated.

Answers from our coding expert on questions regarding medical necessity; using the ROS for history of presenting illness; and duplicative coding.

The price of that prescription might be weighing on your patients' minds, but let them know that by accepting it, they are helping someone in "need."

How can practices know what they are getting paid, if they are not tracking payer reimbursements and running financial reports?

By having an exact plan of action in place, your company will suffer less from insurance company abuse and mistreatment, and you'll be managing them, instead of them managing you.

When you are wrongfully denied for a single code or entire claim, do you know what to do?

Answers from our coding expert on questions regarding bronchoscopy; modifier 58 vs. modifier 79; and fourth-year residents.

Here are three best practices for large practices that need to increase billing efficiency and keep the revenue flowing.

Insurance plans are using the audit process to recoup payments for services which were preauthorized, based on charting. What should practices know?

Each week we share expert advice on running your practice in Physicians Practice Pearls. Here are your favorites from 2015.

Use the annual wellness visit as a way to engage and educate your Medicare patients.

If you think you can just outsource revenue cycle management and walk away, think again. Here are five tips to ensuring a successful partnership.