Payers

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.

Early ICD-10 testing will allow your medical practice to identify and resolve issues before they disrupt your claims process.

Stop cash flow from being a regular issue at your medical practice with these four tips to minimize the time between seeing a patient and getting paid.

Medicare's Annual Wellness Visits are a critical element for primary-care physicians to document ICD-9 codes on their Medicare Advantage patients.

Thoughts on the difficulty of juggling physicians' requirements, patients' demands, co-workers' needs, and still getting your job done as a medical biller.

Health insurance exchanges, created under the Affordable Care Act, take effect in 2014. Here's what they are and what physicians need to know.

Your medical practice staff must be able to stop and ask questions from payers on plan verification to improve your revenue and patient relations.

Rules vary between code book guidelines, payer preferences, and Medicare limitations. Ensure proper reimbursement by following the right rules for the right situations.

Interactions between payers and providers tend to focus on rate negotiations and fees for service, but health reform is changing that.

There will always be difficult people and situations when working at a medical practice. Sometimes you just have to recognize that fact, accept it, and prepare for it.

It seems payers want patients, not your medical practice, to resolve denied claims. Here's how to arm yourself and your patients with the information to get it resolved.

Lower fee-for-service rates and bundled payments may present challenges for physicians. So it's time to start planning today.

Physicians, it's not your fault that Medicare is in freefall. The federal program is failing for several reasons.

Knowing your percent of collections, days aging out in accounts receivable, and payer mix will all help budget your practice finances in a much more efficient manner.

If you see more than eight patients per day, it is time you have a quick coding reference guide to maximize reimbursements based upon insurance and CPT codes.

The shift in the way healthcare is reimbursed is inevitable. Here are three ways physicians can adjust to the move from volume to value.

See where your medical practice stacks up when it comes to reimbursement for top CPT codes on a regional and national scale in our 2012 Fee Schedule Survey results.

Confused about the medical-home model of care and whether it's right for your practice? Here's your guide.

Your fee schedule is the heart of your medical practice. Now is the time to get your allowable rates updated and published to your staff and billing department.

Learn what questions to ask and what to look for when negotiating insurance contracts at your medical practice.