Finance

When choosing between modifier 52 and modifier 53, ask yourself, "Why did the provider not complete the procedure or service?"

Practices that are not ready for ICD-10 will have to deal with significant issues, so it’s time for them to seek guidance from payers and others.

Despite various changes in the healthcare industry, payer negotiations can help your medical practice prosper - if you prepare and leverage your data.

Here are some diagnoses primary-care physicians should pay attention to in order to code correctly and get properly reimbursed.

Physicians are good at lots of things, but solving the issues of poverty isn't one of them.

WEDI's ICD-10 readiness survey paints an ugly picture for physician practice readiness. However, one expert said the situation may not be that bad.

Take a quiz on CPT codes, denials, CARCs, and other medical claims information, using data from the first quarter of 2015 provided by RemitDATA.

What is a payroll leap year and does it apply to you? Learn the critical details of this payroll topic and what you need to do to comply for your practice.

CMS recently offered new tools for the ICD-10 transition. But some providers are still floundering.

Insurers typically do not reimburse an E&M service and procedure performed on the same date of service. But, careful documentation can change that.

A recent study revealed that among practices within ACOs, individual physicians aren’t reaping financial benefits through higher compensation.

Here are 11 tips to ensure your practice will be on track for a successful ICD-10 transition come Oct. 1, 2015 and beyond.

Establish appropriate staff training for ICD-10 at your medical practice with a keen eye on your revenue cycle management.

We know healthcare is changing and will have to continue to change, but this shift will come gradually and need to be driven by a compelling reason.

Our coding expert discusses coding for low-level MDM; teaching physician requirements; referral confusion, and transitional care management.

Taming your practice's accounts receivable can feel very overwhelming. Here are some great tips to make that task nearly effortless.

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.

Can physicians stay independent in an increasingly challenging environment? Here are a few strategies to avoid physician employment.

Your practice's EHR contains a wealth of data. But are you using that data to help keep your patients healthy?

Don't be afraid of big data. Instead, use it to bring meaningful change to your practice to help patients and staff.

It makes good business sense to outsource the billing for most medical practices. That said, the outsourcing must be to a competent billing service.

By reviewing your fee schedule and comparing it to accounts receivable, you may find hidden money that you didn't know about.

Incomplete or inaccurate patient information can set the stage for a claim denial before a visit. Avoid these mistakes at the front desk.

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.

A change in coding for behavioral screenings illustrates how payer payment policies negate any big-data promises of ICD-10.