Medical Billing & Collections

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.

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

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.

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.

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.