Payers

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.

Healthcare providers nationwide are taking issue with payers conducting pay-then-pull-back audits and delayed payments for covered treatments.

With Affordable Care Act full implementation looming, here are some things to consider as your accounts receivable slowly rises amid some interesting moves by 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.