Finance

ACOs enable collaboration between hospitals and physicians because of protections provided under the healthcare reform law.

In a new ruling, CMS agrees to partially pay pending hospital claims in exchange for withdrawal of claims appeals.

Confused about how the healthcare system is going to change? Let's follow the money to find the answers, starting with recent news from CMS.

Do your staff members go to the bank each night, to make a cash deposit? Do you worry about their safety? Here's how to make that chore a thing of the past.

Updating and writing down your billing process provides multiple tools for you and your staff, and helps ensure payment success the first time.

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

Not only should your practice prepare to use new modifiers by Jan. 1, you might also experience even greater scrutiny of future modifier 59 claims.

Charge capture has evolved, from paper to PC to PDA and now to mobile applications, providing physicians with better access to patient data.

Do you have a set policy for sending your delinquent patients to collections? By implementing a clear policy, you have a greater chance of collecting on those accounts.

RemitDATA's vice president of product management, Aaron Hood, explores the most common unexpected denials at practices nationwide, focusing on endocrinology.

Small unpaid claims can add up to big problems for your medical practice. Here's how to find the best partner to collect what's owed for your medical services.

Understanding the principles of leasing medical office space will enable practices to negotiate a lower-cost and equitable leasing agreement.

As physicians, we have fundamentally failed to clearly communicate to patients what we do, what we cannot do, how we do it, and why it costs what it does.

Though you may have taken a break from ICD-10 planning and prep when news of the delay first broke, it's time to get back to work.

Reviewing the definitions of modifiers first will ensure that applying a modifier goes from a game of chance to a sure thing.

Here are some strategies my medical practice has developed to get those unpaid patient balances off our books.

Performing an audit on your denials will provide a clear picture of where you need to focus your attention in the billing process.

If a CMS proposal goes into effect, primary-care providers are likely to be called on more often to provide follow-up care (primarily, evaluation and management services).

Many are still confused about accountable care organizations. Here's how they came about, and how the Medicare ACO program works.

Having a very well written financial policy isn't enough. It's all about staff training and verbal explanations to patients.

One way to ensure patients understand your payment requirements is to ask them to sign a payment policy. Here's a sample policy to consider adapting for your practice.

Physicians have a multitude of options when structuring ACOs. Make sure you understand all the legal requirements before committing your practice.

Americans have changed how they manage their household finances, and medical practices must adjust accordingly.

If your practice accepts medical liens as part of your payer mix, it's a good idea to have a specific follow-up plan in place.