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
Taking the Lead with Insurance Companies
By having an exact plan of action in place, your company will suffer less from insurance company abuse and mistreatment, and you'll be managing them, instead of them managing you.
Upcoding vs. Downcoding: Know the Difference
Wrongful Payer Denials: How to Handle Them Quickly
When you are wrongfully denied for a single code or entire claim, do you know what to do?
Modifier 58 vs. Modifier 79; Coding from Fourth-Year Residents
Answers from our coding expert on questions regarding bronchoscopy; modifier 58 vs. modifier 79; and fourth-year residents.
Best Billing Strategies to Grow Revenue for Your Practice
Here are three best practices for large practices that need to increase billing efficiency and keep the revenue flowing.
What to Know about Claims Audits from Payers
Insurance plans are using the audit process to recoup payments for services which were preauthorized, based on charting. What should practices know?
Top-10 Physicians Practice Pearls for 2015
Each week we share expert advice on running your practice in Physicians Practice Pearls. Here are your favorites from 2015.
AWV is a Win-Win for Patient and Practice
Use the annual wellness visit as a way to engage and educate your Medicare patients.
Trust and Accountability Key to Outsourcing RCM
If you think you can just outsource revenue cycle management and walk away, think again. Here are five tips to ensuring a successful partnership.
Economic Pressures Bolster Case for Outsourcing Billing
While many practices are reining in expenses, it may make sense to outsource revenue cycle management as a way to improve your bottom line.
How to Apply Modifier 58
Physicians should use modifier 58 to indicate a staged or related procedure that was planned in advance.
Set Your ICD-10 Goals for 2016
The ICD-10 transition will continue into the next year for practices. Here are some tips you’ll need to take in 2016.
Overcome Exchange Health Plan Payment Challenges
Practices must explore new collection strategies for patients with high-deductible plans that require more financial responsibility.
15 Funny Fall ICD-10 Codes
Fall brings a new set of activities that may require new ICD-10 codes at your practice. Here's a list of 15 possible – and funny – autumn injuries.
Copy Referring Physicians; Billing a Follow-Up Visit
Our coding expert discusses copying the referring physician on consults; coding follow-up visits; and selecting medical complexity for high-toxicity meds.
Monitoring ICD-10 Post-Implementation Issues
ICD-10 is here, so be sure your medical practice is addressing all related issues to avoid a hit to your bottom line.
CMS Should Adopt a Flat Rate for E&M Office Visits
Many physicians feel that useless chart documentation has grown to consume most of the patient visit, leaving little time for patient care.
Payers Won't Always Be So Lenient in ICD-10
During these early days of ICD-10 payers are accepting codes that aren't quite as specific as they should be. This won't last forever.
At One Month, ICD-10 Seems To Be Going Smoothly
Everything seems fine on the surface with ICD-10 thus far, but is there a false sense of security?
Not Reflecting Medical Necessity; TCM/Home Visits; Split-Bill Encounters
Our coding expert discusses coding for medical necessity, TCM/home visits, using modifier 25 with the AWV, and split-bill encounters.
ICD-10: What to Expect after the Deadline
It's all been about successful implementation up to Oct. 1, but soon practices should focus on life after ICD-10 becomes a reality.
What to Tell Patients About Open Enrollment
With the healthcare exchange open enrollment period starting Nov. 1, educating your patients about the facts is vital.
Most Commonly Unexpected Denied Procedures: Aug. 2015
What were the top five most commonly unexpected procedures that were denied in August? RemitData laid out all the answers in this infographic.
Top 10 ICD-10 Diagnostic Codes from Oct. 1
Curious about the top ICD-10 codes being used by your peers? Here's a short list provided by EHR vendor Practice Fusion.
For Practices, the ICD-10 Roller Coaster Has Just Begun
The challenges of ICD-10 are only getting started with denial and claim error rates set to rise. Here’s one way to avoid these travails.
Empowering Your Team to Increase Patient Collections
As patients see increases in healthcare costs, it’s up to a practice’s staff members to change payment behavior and keep collections coming.
ICD-10 is Up and Running: How to Survive
ICD-10 is now the official language of insurance claims. Here's how to avoid translation problems and other tips to keep your head above water
Ten Last-Minute Resources for ICD-10
Tomorrow is the big day for the ICD-10 transition. If you’re feeling overwhelmed, here are ten last-minute resources to help you out.
Partner with Health Systems for ICD-10 Readiness
For small practices that feel behind on ICD-10 readiness, one potential solution would be for them to partner with a local large health system.
Helping Patients Understand Insurance Benefits is Key
Helping patients manage multiple insurance plans with convoluted rules will improve their ultimate care, and also benefit your practice.