Payers

Having a solid plan in place and not panicking is key when you find yourself suddenly out of network with a popular insurance company.

With payer complexities so burdensome, I can see why some physicians forgo health plans altogether.

Outsourcing your billing to a third-party billing company doesn't have to hurt. Good communication is key; here are the important questions you should be asking.

Patient deductibles will continue to rise to record levels in 2015. Here's how to prepare your practice.

For hospice providers in both acute care and home settings, one item to place on your New Year's resolutions list is CAHPS Survey Implementation.

New risk-contracting discussions are now occurring between providers/hospitals and the pharmaceutical and medical device industries.

The most asked question from state legislators: Does physician quality really impact cost?

Rarely does the federal government hand physicians a tool that makes life a little better. That’s what OIG Opinion 12-22 does, and now data backs up the theory.

A new rule by CMS to punish "bad actors" and new concern with the Independent Payment Advisory Board highlight the problem with Medicare and Medicaid.

As the New Year approaches, it is best to re-verify patients' insurance benefits to avoid a poor customer experience.

BCBS of Massachusetts' quality and cost experiment touts spending reductions that insult physicians' intelligence.

With the ICD-10 transition on the horizon, medical practices need to start preparing. Here are three tips to start with when the calendar flips to 2015.

RemitDATA's Aaron Hood explores the most common unexpected denials at practices nationwide, with a special focus on internal medicine.

A pillar of the Affordable Care Act, "personal responsibility," changes the issue from keeping a doctor to affording one for most working families.

Anders Gilberg of the MGMA discusses your practice's obligation to accept federal or state exchange plans and how to manage them properly.

As the health exchange open enrollment period begins, here are some tips for managing new health insurance plans better than your practice did in 2014.

If you believe your practice is too small to warrant the attention of Recovery Audit Contractors, think again. Here are ways to prepare for scrutiny.

A new survey reveals most physicians feel Medicare quality improvement programs are ineffective, too complex, and too burdensome for physicians and staff.

RemitDATA's Aaron Hood explores the most common unexpected denials at practices nationwide, with a special focus on pediatrics.

John C. Goodman's recent Forbes article provides just one example of how the federal government hurts, not helps. Here are six ways to fix that.

Looking for longevity as a medical practice? Joshua Halverson of ECG Management Consultants offers tips on survival and how to increase your practice's value.

2015 is a crucial year to prove cost and quality as a Medicare provider. Here's what you need to know to avoid financial penalties down the line.

The rules for being an out-of-network provider with California's new healthcare exchange plans just changed. Here's what you need to know.

Successful practices make it a priority to assess patient satisfaction regularly. Here's how to improve satisfaction scores and boost patient ratings.