October 24th 2023
Payers are seeking to eliminate payments for care they deem unnecessary.
October 23rd 2023
These tips can make your next payer negotiation a bit more of a breeze.
October 3rd 2023
Consider these strategies to negotiate favorable payer contracts.
August 22nd 2023
They cost you a lot more than you think.
February 23rd 2023
If you are in a membership medicine model, is working with payers the right way to go?
How to streamline claims for rural practices
Follow these tips to turbocharge the claims process.
Healthcare Compliance: 7 elements for an effective program
A compliance program is important in this day-and-age, thanks to increasing amounts of healthcare fraud as well as payment reform.
Covid-19 Legal Risks: Requiring masks at your practice
To avoid potential conflict, patients should be provided advance notice of your policy to avoid surprise and embarrassment.
How email marketing can help collect delinquent medical payments
A fast and cost-efficient way to inform people about what they owe.
The AI Difference in Revenue Cycle Management
Advanced, user-friendly artificial intelligence (AI) solutions can save clinics $7 billion each year
Grow your practice by optimizing your prior authorization process
Unfortunately for physicians, payers continue to demand prior authorization for more care items.
How Poor Payer Reimbursements are Effecting Practices During the COVID-19 Pandemic
It’s not uncommon for private practices to receive rates far below Medicare standards.
COVID19 demonstrates need for independent physciain groups to assert authority against payers
The pandemic is changing physician leverage.
Concierge doctors well positioned to weather COVID-19 uncertainties
The alternative practice arrangement is maintaining a stable revenue while also readily adaptable to telemedicine services.
Effects of DRG audits on provider sentiment and abrasion
Audits cost providers as much as $1 million annually and damage relationships, but there is an upside a new study says.
3 tips for physicians to find the best financial advisor
Not every financial adviser has your best interests at heart.
8 Patient Collection Mistakes to Avoid
Medical practices are struggling to collect patient accounts while honoring payer contracts. Here's what not to do.
5 tips to negotiate favorable payer contracts
Negotiating with payers is not easy, but a challenge worth taking on
Why payer-provider partnerships need more collaboration
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.
5 ways to create and implement better MIPS quality improvement strategies
MIPS reporting is more complex now, but the more you invest in quality improvement, the stronger your outcomes will be.
4 tips to prevent a credentialing crisis
Stop relying on Excel spreadsheets and calendar alerts. Improve your credentialing efficiency, accuracy and speed with technology.
Why getting claims right the first time is cheaper than reworking them
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.
Resubmitting claims: Get it right the second time
It’s crucial to have a robust program for responding to denied claims. Here’s how to build one.
Avoid these 5 common billing mistakes
A little attention to small billing mistakes can save your practice big money
Managing your payer mix to improve your bottom line
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).
6 ways to improve your revenue cycle management
Increase your medical practice's revenue by understanding payer reimbursement tactics.
3 ways a community HIE can help boost your practice’s revenue
Community health information exchanges appear to offer many advantages, including increased revenue for physician practices.
Improve patient collections through billing transparency
Increase patient satisfaction and lift patient collections through transparent patient responsibility
Why you need to integrate behavioral health into your primary care practice
The Affordable Care Act required health insurance plans to include behavioral health coverage, and that has benefits for patients, physicians and payers alike.
The importance of putting patient care above profits
A recent court ruling illustrates the risk of failing to place behavioral health coverage needs ahead of financial interest.
How to renegotiate payer contracts
Don’t settle for a bad deal. Boost your profits by renegotiating your payer contracts.
7 ways to make denied claims easier
Don’t take ‘no’ for an answer: promptly and properly resubmitting claims is crucial to your bottom line.
5 keys to collecting patient responsibility upfront
Ensure your practice’s long-term health by educating patients about their financial responsibility and staff on how to improve medical billing and collections.
Get paid for procedures insurance won’t cover
Six tips that can help physicians collect on services not covered by third parties.
The fight against prior authorizations
The ongoing battle to get patients the treatments they need is a major contributor to physician burnout.
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