Medical Billing & Collections

It’s cheaper to spend the time and money setting things up properly at your medical practice then to defend yourself when a problem arises.

In this podcast, healthcare attorney Todd Rodriguez, defines the Civil False Claims Act, identifies common missteps, and provides key compliance tips.

The AMA is working to stop the transition from ICD-9 to ICD-10. Does that mean medical practices should stop preparing?

It is vital that practices have systematic ways to address patient collections; the following strategies can help your practice collect all that it is due.

Understanding third-party payers can go a long way to making your life easier.

You've purchased the technology needed to keep tabs on your practice's operations. Now make sure you're looking at the right reports.

Here's how your medical practice should build a plan for the looming transition from ICD-9 to ICD-10 in 2014.

Practice Notes blogger and attorney Ericka Adler recently wrote about issues that arise when patients can’t pay for services.

Feel like you can't do the fee-for-service practice model anymore? Here are several examples of new models in primary care that may the answer for you.

If every chart you create looks basically the same, it might be a problem for CMS.

John Torres with Texas-based FTGU Medical Consulting discusses revenue strategies and cost containment.

With the right technology, your practice can do a better job of collecting upfront copayments, catching likely claims denials, and tracking patterns.

Here are some important points about billing for services delivered by physician assistants in your practice.

Here's my prediction: your practice will be audited in the next 24 months and asked to return overpayments.

Claims denials can hurt practice revenue, so stay on top of your billing process to collect every penny you've earned.

With so much else changing in healthcare, it's understandable that you'd want to avoid thinking about transitioning to the coming ICD-10 code set. But the longer you wait to start, the tougher it will be to make the switch, and the more likely you are to lose money. Here's what you need to know to avoid claims denials and ensure a smooth conversion.

Where do you stand on exchanging medical services for something other than a direct payment?

Here's a quick video to get you started with conducting Medicare's Annual Wellness Visit at your medical practice.

Learn when and what CPT codes to use with prolonged services codes 99354 and 99355 at your medical practice.

The feds have aggressively stepped up their fraud and abuse efforts. Your practice may play by the rules, but that doesn't guarantee it will escape federal scrutiny.

I know that there are going to be significantly more codes with ICD-10, but will the rules change regarding how codes are assigned?

Our latest analysis of the annual ranking of payers based on hassle factor is here. The good news: Most insurers are paying faster, denying less, and making their processes more transparent. But there's still room for improvement.

Looking for the proper way to use modifier -25 at your medical practice? Here is some expert medical coding advice.

To stay safe and weed out the billing and collections problems stifling your practice's revenue stream, our experts recommend a "bottom-to-top" assessment of your entire billing operation.

You may be afraid of audits, but if you aren't auditing your own billing procedures, you're probably losing a fortune. Here's how.