Payers

Training staff to follow payer policies makes sense, but what happens when that negatively affects patient care?

Many physicians feel that useless chart documentation has grown to consume most of the patient visit, leaving little time for patient care.

Value-based reimbursement isn't the future for physicians; it's here. It's time to tie quality outcomes to compensation.

Do yourself a favor: participate in as many quality programs as make sense for your practice.

It is predicted that 50 percent of Americans will be obese by the year 2030. It is time to increase public awareness and research into this disease.

The big bang of ICD-10 has happened. Practices should focus on getting reimbursement from third-party payers and clearing up any issues.

What is “clawback” language? It can be used by employers to make physicians recoup demands from federal and private payers.

Practitioners are used to applying SOAP notes to clinical problems, but they can be used effectively for business issues as well.

Some medical practices are cutting out insurance companies and providing services directly to employers, thereby reducing overhead and cost to patients.

Providing patients with too many options may not help them at all. Without adequate resources to make well-informed decisions, they may just feel angry.

With the healthcare exchange open enrollment period starting Nov. 1, educating your patients about the facts is vital.

Practices are going to have to accept pricing transparency experts say, otherwise they'll get left behind as consumers push this trend forward.

With the rollout of ICD-10 it's important to keep a sense of normalcy in other critical areas of your practice. Here are some ways to do that.

Helping patients manage multiple insurance plans with convoluted rules will improve their ultimate care, and also benefit your practice.

After a lengthy transition, one multispecialty medical practice is reaping the benefits of NCQA recognition as a PCMH.

Helping patients understand they have to pay for their care can be difficult. Here’s a guide that helps break it down.

Medical billers can feel like game-show contestants when trying to collect payment from insurance companies.

This survival guide offers key activities to move a practice beyond reactive management and toward a proactive approach to optimize performance.

Frustrated with the way your payers' communicate with your practice? Here's a novel solution.

Despite various changes in the healthcare industry, payer negotiations can help your medical practice prosper - if you prepare and leverage your data.

Spending time and energy cajoling a payer to approve a medication or procedure can be time-consuming and interrupt your practice day.

Here are nine good reasons to receive all in-network payer remittances via the Automated Clearing House system.

Patients and payers are your two main practice revenue sources. Here's how to collect more for the work you do every day.

Practice-payer alignment is more important than ever before and should involve a third party: your health IT vendors. Here's why.