Finance

Your medical practice staff must be able to stop and ask questions from payers on plan verification to improve your revenue and patient relations.

A recent Illinois court case claiming violation of the False Claims Act should be on the radar of all physicians when it comes to compliance.

How automatic payment technology helped one healthcare organization increase in-office patient payment collections and reduce administrative costs.

Internist Gregory Spencer, an ACO participant and a presenter at the HIMSS13 Conference, discusses technology tools critical to ACO success.

Hospitals have quickly become physicians' dominant employer. Does independent practice have a future?

Here is step-by-step guidance to getting paid what is owed your medical practice, starting with strong policies and staff training.

Learn about ACO formation, rules, contract pitfalls, and physician participation from an expert before you commit to joining a new group.

In an age of mergers and partnerships, it is important for physicians to pay attention to investor bond ratings and reports.

Patient-Centered-Medical Home and other efforts, when in practice, affect physician independence.

Rules vary between code book guidelines, payer preferences, and Medicare limitations. Ensure proper reimbursement by following the right rules for the right situations.

Physicians should take the time to anticipate change and plan with the goal of getting the maximum benefit from the time invested.

Here's a primer on how the federal government defines healthcare fraud, waste, and abuse in Medicare.

Find out why patients are canceling their appointments, and then use that information give them more information and get them back into your medical practice.

It's tax season and with the IRS notifying more physicians of tax audits, there are some steps you can take today to avoid being included in this group.

Interactions between payers and providers tend to focus on rate negotiations and fees for service, but health reform is changing that.

There will always be difficult people and situations when working at a medical practice. Sometimes you just have to recognize that fact, accept it, and prepare for it.

It seems payers want patients, not your medical practice, to resolve denied claims. Here's how to arm yourself and your patients with the information to get it resolved.

Repeated use of emergency rooms for nonemergency care is having negative effects on our nation. But some innovative strategies to avoid this are emerging.

Find out why CPT code 99213 is the most unexpectedly denied E&M code at medical practices like yours from John Stanton of RemitDATA.

Coding questions? We've got the answers.

Does your medical practice allocate more time to medical billing and collections than actual patient care? Even with automation, the growing complexity of the process makes it increasingly labor intensive. Perhaps it's time to outsource?

A look at the HIPAA Omnibus Rule may also provide physicians with some ways to examine other compliance issues and impact revenues as well.

This article identifies the types of observation codes, how each is used, and relevant CPT guidelines for physicians and medical practices.