Payers

The difficulty imposed on primary-care physicians as a result of the imperfect Medicare SGR formula creates more hurdles in our day-to-day work flow.

Doctors can breathe a sigh of relief as a Medicare pay cut of nearly 30 percent is narrowly averted - at least temporarily.

A recap of this year’s most popular blogs and some of the key lessons that can be learned from each.

With December upon us, we are just a few short weeks away the new year. Is your medical practice prepared with the necessary resources to turn the calendar?

Pay-for-performance is an increasingly popular, yet largely unproven, concept for rewarding the providers of healthcare. They can be helpful …or harmful.

Report diagnoses to tell the payer why a service was performed, support medical necessity, and avoid having your claims denied.

Here are common areas of inefficiency at medical practices to address today to ensure continued financial health.

Coding questions? We've got the answers.

Ophthalmologist Ari Weitzner outlines his platform if elected president, starting with cutting healthcare costs.

Touted as a cost-saving, quality improvement measure, bundled payments also have their critics. Here's what you need to know.

Psychiatrist Daniel B. Block lays out his first term as president of the United States of Utopia.

By now you have likely encountered the term "Patient-Centered Medical Home" or PCMH. If you do not yet know what a "medical home" is, think of it this way - these are practices that use care teams to put the patient at the center of the healthcare delivery system.

Consultant Elizabeth Woodcock, a presenter at the MGMA12 Conference in San Antonio, discusses tips to improve patient collections at your medical practice.

With payer reimbursement often an uncertainty and the bigger picture financial landscape in flux, independent physicians will need partnerships to gain some leverage.

If you have patients who've been hurt by a work-related injury or in a car accident and are using their private insurance, you may not be paid for your services.

It's time to come to a final resolution on the Medicare SGR so physicians can stop worrying and start planning for the future.

Do you know how insurance companies are treating your patients? Here are some areas to be aware of and how to work with payers so that everyone wins.

When reimbursements are low for your workers' compensation patients, it may not be the payers' fault. Here's how to make sure you are paid what you deserve.

As long as we view health insurance, rather than access to healthcare, as a right in this country, the problem will only get worse.

Need a refresher on the major insurance types for staff at your practice? Here's a print and post guide for your office.

Here is an easy and quick tip that will immediately increase your inflow with minimal time and effort from treating staff at your medical practice.

If an ACO comes knocking on the door of your medical practice, here are some pointers to assess your potential new partners.

You've seen a patient that you thought had insurance that you accept, but it turns out you don't. What is the best course of action to take?

Patient refund requests surely come across your desk. Here's how to know when to cut a check and when to hold onto the overpayment temporarily.

From preparing for ICD-10 to participating in the EHR meaningful use incentive program, what’s the most difficult aspect of your daily work?

How are your payers performing? Current data indicate that payer performance is declining. Here's what you can do to maximize your reimbursement.

Here's how to make sure your patients do not receive a bill when your practice has gone over either the insurance visit limit or number of visits limit.

The latest data from PayerView, the annual ranking of insurers from billing services and software company athenahealth, shows payer performance in decline. But what about your payers? Here's advice on how to monitor the performance of your own top payers, plus key data from national and regional payers.

Are you restricting Internet access to your medical practice staff? If so, some of your cash flow is not only offline but also in jeopardy.

Payers are mobilizing their reimbursement models to ensure that they are paying only for "quality" and "efficiency" in medicine.