February 26th 2024
Your weekly dose of wisdom from the Physicians Practice experts.
October 25th 2023
MGMA Senior Vice President for Government Affairs, Anders Gilberg, discusses some of what’s the organization is anticipated in the 2024 Physician Fee Schedule.
August 23rd 2023
Collecting money from patients is an ongoing challenge that has only worsened with high-deductible health plans.
July 31st 2023
May 22nd 2023
Collections Letter 2
Here is a sample collections letter to use at your medical practice.
Collections Letter 3
Collections Letter 3 -- Spanish
Collections Letter 2 -- Spanish
Appeal Letter Justifying Emergency Treatment
Collections Letter 1 -- Spanish
Insurance Waiver -- Spanish
If you can't verify a patient's insurance, their signature on this form shows they know they are responsible for payment.
Appeal Letter Justifying Medical Neccessity
Assignment of Benefits -- Spanish
Appeal Letter for Claims Denied for Not Using Designated Provider
Use this letter when a claim is denied because a patient saw a physician in your group who is not his or her designated primary care physician.
Advance Beneficiary Notice
This Advance Beneficiary Notice form, created by CMS, is best managed by the clinical team at your medical practice versus the front office staff.
Patient Dismissal Letter
Use this letter if a patient consistently refuses to pay for services rendered, and you are forced to dismiss the patient from your practice.
Outsourcing Your Billing
Outsourcing billing operations can be a relief to a frazzled practice. But you need to do it right; after all, your practice’s revenue is at stake.
Coding Secrets Unlocked
Coding is no fun, but you gotta get it right if you wanna get paid. Here’s our guide to coding like a pro.
Global Capitation - It’s Baaaack…
This time, it's back with a quality twist.
Solved! Denied Again
What do you do when your claims keep getting denied by the same payer, seemingly without explanation?
Coding Questions?
Get answers on coding for Incomplete procedures; film review; figuring out medicare denials; coding for workers' compensation forms, and more.
Getting Paid for Mouse Calls
Insurers are slowly figuring out how to pay for online consultations. The time has come to get on the bandwagon.
The Bigger Picture: Better Quality, More Money. Right Now.
Yes, there is a way to make more money; by providing better care - and you needn’t wait for some P4P program or “medical home” experiment to get started.
Physician Fee Schedule Survey - 2008
The results of our annual fee schedule survey tell you how much to expect from payers. The news isn’t good, but we have plenty of advice for making the most of difficult times.
Physician Beware: ‘The Dog Ate My Checkbook’
You’ve heard it all from patients who have outstanding accounts. How can you tell a genuine plea for help from a sob story, and when does it matter?
How to Bill Like a Lawyer
Attorneys bill for their time - don’t you wish you could? What if we told you that you can? Here’s how.
Coding Software Upgrades
It’s time to get those annual coding upgrades to your billing software. But, how can you defray the cost without losing the upgrades?
Cover Story: Get Paid for What You Do
Forms for summer camps, sports teams, and schools - all require you to take uncompensated time to fill them out. Here’s our primer on how to develop your own policy for getting paid fairly.
Billing: Hand Off Billing Nightmares
Should you outsource your practice’s billing, or keep it in-house? Revenue cycle management vendors promise to reduce denials, improve collections, and get you your money faster. But, are they for you?
Physicians Practice PEARLS: HSAy What?
High-deductible health plans like health savings accounts are becoming more common, and that means you’ll have to work harder to collect from patients.
Billing Problems? Consider Your Charge Ticket
Deborah Grider, CPC/EM, president of the American Academy of Professional Coders National Advisory Board talks about what you aren’t billing that is costing you big.
Billing: Finding Lost Revenue
We go beyond Billing 101 to show you the advanced techniques and little-known secrets for collecting every nickel, dime, and Spanish doubloon you’re owed.
Finance: Getting More - Our Annual Physician Compensation Survey
There’s encouraging news in our third annual Physician Compensation Survey. Primary-care docs are seeing their incomes tick upward - on average. Where do you stack up?
Billing: Getting the Process Right
Thinking of keeping your billing process in-house to save money? OK, but be sure you really are saving money in the long run.