Medical Billing & Collections

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.

Here are some steps medical practices should take to stay ahead of the curve financially when CMS moves to a new data source for calculation of HCC factors.

Physicians should think twice before doing business with laboratories that offer the opportunity to profit from your business relationship.

A brief guide for physician practices, including tips on protecting yourself against RAC audits.

Knowing your percent of collections, days aging out in accounts receivable, and payer mix will all help budget your practice finances in a much more efficient manner.

Here's an Excel-based tool to help you better understand how long it is taking for claims to be paid at your medical practice.

Here's an Excel-based tool to know the percent collected at your medical practice on a monthly basis and predict your practice's inflow.

Want to know what the government looks for in healthcare fraud investigations? Here's some conduct you may want to avoid at your medical practice.

It is both a science and an art to determine the most effective price for a practice’s concierge program. Here are some observations and guidelines.

Medical practices are concentrating on critical changes as part of the ACA but it is important not to lose focus on the basics of coding.

If you see more than eight patients per day, it is time you have a quick coding reference guide to maximize reimbursements based upon insurance and CPT codes.

Patient care is at the heart of both ICD-10 and Value-Based Purchasing. But following the principals of each can also enhance your revenue cycle.

Here are six essential steps to avoid claim denials due to new 2013 codes and three tips for monitoring your medical practice's denials.

Coding questions? We've got the answers.

New payment models can boost medical practice revenue. Here's how to take advantage.

See where your medical practice stacks up when it comes to reimbursement for top CPT codes on a regional and national scale in our 2012 Fee Schedule Survey results.

Your fee schedule is the heart of your medical practice. Now is the time to get your allowable rates updated and published to your staff and billing department.

A new year is the perfect time to be proactive and ensure your medical practice is compliance with all the regulations it faces.

Here are five legal issues private practices should be sure to follow in the new year to avoid potential pitfalls.

Learn what questions to ask and what to look for when negotiating insurance contracts at your medical practice.

A one-year delay in the proposed Medicare SGR payment cut is one of three wins of the fiscal cliff deal reached in Washington, D.C., for physicians.

Attorney Rachel Rose provides some details and frequent issues for physicians regarding Recovery Audit Contractor audits.

Feel like there's no time to manage your medical practice? Here's how to spend five hours a week and increase inflow while still allowing you to treat patients.