Payers

Physicians considering changing their status as enrolled and participating Medicare providers must be aware of their options and legal requirements.

Our 2013 PayerView data, compiled by athenahealth, suggests difficult times ahead. Here are some steps to increase payer performance at your practice.

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.

Why smart policies must reward smart care by physicians.

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?

The Affordable Care Act contains provisions that will impact physicians, even if you aren't in an accountable care organization.

Here's a look at the pros and cons of three possibilities to fix the healthcare cost dilemma in the United States.

Consolidation will probably continue to be a strong trend, but it is not the only available option.

Opportunities to practice telemedicine are emerging due to improved technology and reimbursement. Still, there are some legal issues to consider.

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.

Antiquated though the distinctions between socialism, communism, and capitalism may seem, healthcare would do well to keep one eye on lessons learned long ago.

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.

Here's why physicians may want to discuss proposed Medicaid cuts to hospitals with their employers sooner than later.

Healthcare is quickly becoming a war of all, against all, turning physicians, hospitals, insurers, drug makers, and device makers into blood rivals.

It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.

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.

When it comes to audits, "payers are sneaky and relentless, because they have everything to gain and nothing to lose," notes consultant Angela Miller.

Our 2013 Staff Salary Survey results can help you determine how your practice’s reimbursement model compares to practices of similar sizes.

Primary-care and annual wellness visits are essential to the future of healthcare quality and decreased costs, and third-party providers shouldn't disrupt that.

Economic and regulatory pressures are hitting physicians hard. Here’s how to react in constructive ways.

AHIMA's Kathy DeVault explains how to work with payers on the ICD-10 transition, including use of unspecified codes, and how to best prepare providers.

Patients are in a panic over shifts in their insurance plans and looking to you for deciphering. Here's how to provide great customer service to assist them.

Everybody at your practice has a role in the ICD-10 transition, but that doesn't mean they should all be coders. AHIMA's Kathy DeVault explains.

Here are some tips that have saved my medical practice's bottom line more than once over the last 20 years. It's all about getting and staying organized.

With the right approach, physicians might secure better reimbursements from their payers.