Payers

Proper billing and coding under CMS’s final rule is important not only for reimbursement but also to avoid potential lawsuits.

Collecting patient payments can be a challenge for medical practices that aren’t operating at maximum efficiency. Review some key performance indicators to identify and improve processes.

A payer contract is more than a mere fee schedule. There are several other factors to consider when deciding to keep or terminate a payer contract.

Before heading to the table, draft a game plan to be a tough negotiator with payers.

It’s important to remember what you bring to the table before negotiating payer contracts.

Physicians must take action and try to get paid accurately for their services.

Unfortunately, preventative care doesn't prevent physicians from dealing with reimbursement woes.

Sometimes, the difficulty in treating patients lies in knowing how to code their ailments.

Negotiating with health plans is not about who you are or what you do. It is about fair compensation for what you deliver.

You may be able to negotiate for better reimbursement. Here’s what you need to know to improve your chances of success with payers.

One physician finally succumbs to adjusting her work schedule to reduce burnout-sort of.

President Trump relieved David Shulkin, MD, as Secretary of Veterans Affairs (VA), replacing him with White House physician, Rear Adm., Ronny Jackson, MD.

Physicians are stuck choosing between the lesser of two evils when it comes to payments and reimbursement.

Despite spending the most on health care, Americans experience shorter life expectancy, higher obesity rates, and a higher rate of infant death.

Physicians have to jump through more hoops than ever to be paid. Is there an end in sight?

Healthcare organizations are always looking to save money, but physicians rarely know the effect of their treatments or medications. Here's how to change that.

A new proposal from the Trump administration aims to improve insurance options for patients, but some are concerned it will just raise premiums.

If you aren't a patient isn't on your insurance panel, for whatever reason, how can you expect to be fairly paid?

You don’t know how much money you have in the bank. What if I told you, you can calculate a projection of your inflow for this month?

With more patients likely to be uninsured due to the individual mandate repeal, here are creative ways of providing cost effective primary care.

Instead of funneling a bunch of capital into your practice on a monthly basis, how about cleaning up your DSO?

More shakeups in the Trump administration's HHS with Brenda Fitzgerald, MD, resigning amid reports she traded in tobacco stocks.

Online reviews are no longer a forum for patients to judge you, payers are increasingly making them a priority.

In this month's coding column, expert Bill Dacey says requirements around the new code 93793 are unknown.

Stay on top of your collection practices using training, technology, and communication.