
Perhaps Congress hopes some sort of solution to the SGR will unexpectedly land on its doorstep. And perhaps it finally has - in the form of unspent war funds.

Perhaps Congress hopes some sort of solution to the SGR will unexpectedly land on its doorstep. And perhaps it finally has - in the form of unspent war funds.

As practices continue to deal with declining reimbursement, federal and commercial payers are exploring new payment models. Here's how to prepare and respond.


The proposal would help physicians dodge a 29.5 percent pay to Medicare services, but it would slam them with other - perhaps more serious - problems.

The Affordable Care Act, signed into law in 2010, is the roadmap for healthcare reform for the next decade. The legislation includes several initiatives that will impact the way physicians operate and change their everyday business practices. Here is a year-by-year outline of the biggest benchmarks that will affect physician practices.

The latest study results from the AMA when it comes to payers and their power in local markets may not be good news to all.

The toughest payers to collect from are your own patients. Don't despair, there are things you can do to get paid.

Our 2010 Fee Schedule Survey indicates that with commercial payments narrowly keeping pace with Medicare, practices need to get paid more for the work already being done.

CMS has released its proposed changes. Not sure how it will impact you? Have a gander at this. It'll give you what you need to prepare. We took it straight from the horse's mouth, straight from the proposed regulations.

Base your fee schedule on the Relative Value Unit (RVU) scale. We'll show you how -- and help you with the math.

This simple work sheet will let you compare your payers' reimbursement for specific procedure with your costs for each procedure. If you're spending more to provide a service than you're making for it, then it's time to address the problem.

A quick overview of the Initial Preventive Physical Examination (IPPE),a new Medicare benefit effective 1-1-05. Understand the components and how to bill for the exam.

A lingering recession and declining reimbursement make for stormy weather for practices. Check out our suggestions for how to stay dry - and in the black.

In this podcast, consultant Betsy Nicoletti explains the changes in CMS’ 2010 final physician fee schedule that could affect your practice.

Appeal Letter Justifying Fee Schedule as Fair and Reasonable

The practice I currently work for has always billed Medicare exactly what Medicare pays. Is there a downside to doing this? Does Medicare place you in another pay bracket? It does keeps the A/R lower than if we charged our fee schedule, but I want to make sure it does not have negative consequences.