Payers

The crux of payer-provider collaboration lies in alignment.

Consider the puffer fish

Here are 11 ways you can, and should, engage in grassroots advocacy for your practice, your patients and yourself.

It’s clear the state of PA must change. Artificial intelligence has a role in streamlining administrative tasks.

Negotiating your payer contracts is the ticket to the money you deserve.

Payers are seeking to eliminate payments for care they deem unnecessary.

These tips can make your next payer negotiation a bit more of a breeze.

Consider these strategies to negotiate favorable payer contracts.

They cost you a lot more than you think.

If you are in a membership medicine model, is working with payers the right way to go?

Follow these tips to turbocharge the claims process.

A compliance program is important in this day-and-age, thanks to increasing amounts of healthcare fraud as well as payment reform.

To avoid potential conflict, patients should be provided advance notice of your policy to avoid surprise and embarrassment.

A fast and cost-efficient way to inform people about what they owe.

Advanced, user-friendly artificial intelligence (AI) solutions can save clinics $7 billion each year

Unfortunately for physicians, payers continue to demand prior authorization for more care items.

It’s not uncommon for private practices to receive rates far below Medicare standards.

The pandemic is changing physician leverage.

The alternative practice arrangement is maintaining a stable revenue while also readily adaptable to telemedicine services.

Audits cost providers as much as $1 million annually and damage relationships, but there is an upside a new study says. 

Not every financial adviser has your best interests at heart.

Medical practices are struggling to collect patient accounts while honoring payer contracts. Here's what not to do.

Negotiating with payers is not easy, but a challenge worth taking on

As payers and providers strive for value-based care, all sides need to contribute their part toward better data sharing, improving patient outcomes and delivering quality care.

MIPS reporting is more complex now, but the more you invest in quality improvement, the stronger your outcomes will be.

Stop relying on Excel spreadsheets and calendar alerts. Improve your credentialing efficiency, accuracy and speed with technology.

Medical practices continue to be squeezed by increasing costs and decreasing reimbursement, emphasizing the need for better clinical coding and editing technology that can improve claims even before they’re submitted.

It’s crucial to have a robust program for responding to denied claims. Here’s how to build one.

A little attention to small billing mistakes can save your practice big money

Payers don’t dole out equal pay for equal work, so it benefits your physician practice to understand who pays what (so you can negotiate more).