July 30th 2025
These six effective strategies to streamline revenue cycles, reduce accounts-receivable days and enhance efficiency in independent medical practices.
June 9th 2025
Physicians navigate challenging payer negotiations, sharing success stories of securing approvals for innovative, cost-effective treatments.
February 21st 2025
Step therapy protocols not only delays necessary treatment but can lead to adverse reactions that ultimately increase rather than lower health care costs.
February 13th 2025
What payers need to do to improve relationships with practices.
November 11th 2024
The verdict is in for how practice's feel about their payers, and it isn't good.
Physician Compensation Tied to Quality, Patient Metrics 'Growing'
Analyzing Reasons for Medical Claims Denials
What are the top five codes that are likely to lead to unexpected denials at your medical practice? Let Adam Atwood of RemitDATA tell you in this audio slideshow.
How ERISA Affects Medical Practices
Here's a primer on ERISA, how it works, and what it means for you and your medical practice.
Help Medical Practice Staff Navigate the Insurance Verification Maze
Here are tips to overcome the misinformation and runaround your medical practice staff often gets when verifying insurance to get closer to an accurate payment.
PayerView 2013 Data: Best Payers
Here are the five best payers for medical practice claims in the U.S., according to athenahealth's 2013 PayerView rankings.
PayerView 2013 Data: Blues
Here are the rankings of the best Blues in the U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.
PayerView 2013 Data: Major Payers
Here are the eight best major payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.
PayerView 2013 Data: Medicaid
Here are the best Medicaid payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.
PayerView 2013 Data: Medicare
Here are the best Medicare payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.
PayerView 2013 Data: Midwest
Here are the rankings of the best payers in the Midwestern U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.
PayerView 2013 Data: Northeast
Here are the rankings of the best payers in the northeast U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.
PayerView 2013 Data: South
Here are the rankings of the best payers in the southern U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.
PayerView 2013 Data: West
Here are the rankings of the best payers in the western U.S. for medical practice claims, according to athenahealth's 2013 PayerView data.
PayerView 2013 Data: Worst Payers
Here are the five worst payers for medical practice claims, according to athenahealth's 2013 PayerView rankings.
Regulations to Consider Before Opting Out of Medicare
Physicians considering changing their status as enrolled and participating Medicare providers must be aware of their options and legal requirements.
PayerView 2013: Getting Paid at Your Medical Practice
Our 2013 PayerView data, compiled by athenahealth, suggests difficult times ahead. Here are some steps to increase payer performance at your practice.
Eliminating Your Medical Practice's Aging Accounts Receivable
With the following tips, it's not only possible, but quite probable in the near future, you can eliminate your accounts receivable in the 120+ day category.
The Case for Higher Physician Reimbursement
Why smart policies must reward smart care by physicians.
Stark, Anti-Kickback Laws Could Get Murkier Under Affordable Care Act
With health insurance exchanges on the horizon, some controlled by HHS, will federal laws fighting fraud and abuse have new teeth for physicians and practices?
As Full Healthcare Reform Approaches, Things Physicians Need to Know
The Affordable Care Act contains provisions that will impact physicians, even if you aren't in an accountable care organization.
A National Dilemma: Three Possibilities to Fix Healthcare
Here's a look at the pros and cons of three possibilities to fix the healthcare cost dilemma in the United States.
Three Alternatives to Medical Practice Consolidation
Consolidation will probably continue to be a strong trend, but it is not the only available option.
Legal Considerations Prior to Practicing Telemedicine
Opportunities to practice telemedicine are emerging due to improved technology and reimbursement. Still, there are some legal issues to consider.
A Look at the Average Day of a Medical Biller
Take a peek inside the diary of a medical biller to see what really happens each day at her desk. Chances are, the same thing is happening at your practice.
Healthcare through the Lens of Socialism, Communism, and Capitalism
Antiquated though the distinctions between socialism, communism, and capitalism may seem, healthcare would do well to keep one eye on lessons learned long ago.
Five Ways to Streamline Patient Appointments
When you find your medical practice constantly behind, unorganized, and frazzled at the end of every day, maybe it's time to take a look at your work flow.
Proposed Medicaid DSH Payment Cuts Will Affect Physicians
Here's why physicians may want to discuss proposed Medicaid cuts to hospitals with their employers sooner than later.
Gloves Are Off in War between Payers, Providers
Healthcare is quickly becoming a war of all, against all, turning physicians, hospitals, insurers, drug makers, and device makers into blood rivals.
Four Reasons Private Medical Practice is Becoming Extinct
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
Five Ways to Get Claims Paid at Your Medical Practice
Getting paid by insurance companies can be like fighting a war. Here are my top five weapons to manage accounts receivable and get what it is owed from payers.