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
ICD-10's Potential Effects on Your Revenue Cycle
The upcoming coding change requires reimbursement monitoring by practices and perhaps a review of claims appeal processes as well.
Coding for Smoking Cessation and Obesity Counseling
It's Not (Quite) Too Late To Get Ready for ICD-10
Oct. 1 will be here before you know it. If you aren't ready for ICD-10, it's time to narrow your focus.
Deal or No Deal: Getting Medical Payers to Pay
Medical billers can feel like game-show contestants when trying to collect payment from insurance companies.
Cutting Through Payer Bureaucracy
Frustrated with the way your payers' communicate with your practice? Here's a novel solution.
Applying Modifier 52 and Modifier 53
When choosing between modifier 52 and modifier 53, ask yourself, "Why did the provider not complete the procedure or service?"
It’s Too Late to Ignore ICD-10
Practices that are not ready for ICD-10 will have to deal with significant issues, so it’s time for them to seek guidance from payers and others.
Strategies to Get the Most from Payer Negotiations
Despite various changes in the healthcare industry, payer negotiations can help your medical practice prosper - if you prepare and leverage your data.
ICD-10: Key Changes for Primary Care
Here are some diagnoses primary-care physicians should pay attention to in order to code correctly and get properly reimbursed.
Are Practices More Ready for ICD-10 Than They Realize?
WEDI's ICD-10 readiness survey paints an ugly picture for physician practice readiness. However, one expert said the situation may not be that bad.
How Helpful Are CMS’ New Training Tools for ICD-10 Prep?
CMS recently offered new tools for the ICD-10 transition. But some providers are still floundering.
Same-Day Patient Visit and Procedure Can Be Reimbursed
Insurers typically do not reimburse an E&M service and procedure performed on the same date of service. But, careful documentation can change that.
Approaching an ICD-10 Implementation with Confidence
Here are 11 tips to ensure your practice will be on track for a successful ICD-10 transition come Oct. 1, 2015 and beyond.
Preparing the Nonclinical, Non-Coder for ICD-10
Establish appropriate staff training for ICD-10 at your medical practice with a keen eye on your revenue cycle management.
Low-Level MDM; Teaching Doc Requirements; Referral Confusion
Our coding expert discusses coding for low-level MDM; teaching physician requirements; referral confusion, and transitional care management.
Six Ways to Manage Your Medical Practice's A/R
Taming your practice's accounts receivable can feel very overwhelming. Here are some great tips to make that task nearly effortless.
CMS Answers Calls for ICD-10 Safeguards
While recent concessions made by CMS on the ICD-10 transition may relieve stress for practices making the transition, some say it’s not enough.
10 Reasons to Outsource Medical Billing
It makes good business sense to outsource the billing for most medical practices. That said, the outsourcing must be to a competent billing service.
Finding Hidden Revenue in Your Fee Schedule
By reviewing your fee schedule and comparing it to accounts receivable, you may find hidden money that you didn't know about.
The Front Desk: Your Defense Against Claims Denials
Incomplete or inaccurate patient information can set the stage for a claim denial before a visit. Avoid these mistakes at the front desk.
Communication Key to Improving Physician Documentation
Lack of feedback from back to front office on coding issues perpetuates a cycle of denials. Here are five tips to help get claims paid the first time.
The Cost of Insurance Payment Policies on Public Health
A change in coding for behavioral screenings illustrates how payer payment policies negate any big-data promises of ICD-10.
Beef Up Your Practice's Revenue Cycle Management
Sometimes, you have to add a little muscle to the way your staff approaches patient payments and other collections for your medical practice.
Examine Your Medical Billing Process for Improvement
If you believe billing processes need improvement in your practice, start by looking at the component steps of each task.
Superbill and Forms Revision for ICD-10
Superbills and other forms at your practice should also be prepared for Oct. 1, 2015. Here's how to get ready.
Problem Focused Exam; Scribe Services
Our coding expert discusses coding for unspecified diagnosis at the time of encounter; a problem-focused exam; and scribe services.
Medical Claim Denials and Remedies: Trends for Spring 2015
Get insight on the most common unexpected denials at practices nationwide, with a special focus on endocrinology, from RemitDATA.
Son's ICD-10 Software Helps Save Dad's Solo Practice
ICD-10 Charts is a free tool to aid the coding transition, but also a gift from a son to his internist father to keep his private medical practice alive.
Four Medicare Misconceptions That Cost You Money
When it comes to complex payer rules, the most effective course of action is to consult experts for a thorough review of the rules and consequences.
Improving Practice-Payer Collaboration
Practices can often feel helpless when it comes to working with payers. Here's how they can change that dynamic and become empowered.