April 24th 2024
The crux of payer-provider collaboration lies in alignment.
April 9th 2024
It’s clear the state of PA must change. Artificial intelligence has a role in streamlining administrative tasks.
March 15th 2024
Negotiating your payer contracts is the ticket to the money you deserve.
October 24th 2023
Payers are seeking to eliminate payments for care they deem unnecessary.
October 23rd 2023
These tips can make your next payer negotiation a bit more of a breeze.
Negotiating with Payers as a Small Practice
Small practices won't have access to a private payer's reimbursement rates, so what they are to do?
Who Should Control the New Healthcare System?
The latest attempts to repeal and replace Obamacare are no better than the health law itself.
Identifying Your Payer Mix To Make Business Decisions
Knowing and understanding your payer mix is critical in your business operations, and overall inflow.
Physicians Designing Unique APMs for MACRA
Doctors are taking it upon themselves to create new payment models to better align with how they administer care.
Physicians Grade the Trump Administration
More than 40 percent of physicians give the Trump administration an “F” in healthcare thus far. What has led to these tough grades?
2017 Great American Physician Survey Results
Physicians continue to be bothered by government regulations and third-party interference; many give Trump administration an F thus far.
A Plan of Attack on Getting What You Owe from Payers
Your team of physicians, administrators and lawyers can help you get what you rightfully owe using data-driven tools.
2018 Coding Updates: Vaccines, Consult Codes
Coding expert Bill Dacey has some of the most recent updates to the coding manual. What do you have to know for 2018?
Practice Due Diligence Can Save Patients Money
A little time and effort by practices can save patients thousands of dollars in unseen costs.
Building a Medical Coding Team: In-house vs. Outsourced
Should you hire an in-house coder or outsource? Do you need to hire one at all? Answers to these questions and more.
Soften the Blow of High Deductible Health Plans
High deductible health plans hit patients' wallets hard, here's how to cushion the blow for your practice.
Getting Payers to Pay What They Owe You
Why you need an attorney if you are going to recoup payment from payers. It's not the same as getting money from patients.
Could Physician Ownership Save Healthcare?
Anti-competitive trends and consolidating hospitals purchasing physician practices, are crushing patients with higher costs and poor service.
Marketing Your Practice to the Self-Funded Employer Market
The self-funded employer market is a good opportunity for your practice, you just have to let them know your practice is a good fit for them.
Having Insurance Does Not Make Care Affordable
A physician receives a hefty out-of-pocket medical bill and ponders what other patients in his situation are forced to do.
The Rules Surrounding Telehealth are Changing
Thanks to a new agreement, medical licensure issues won't hold back the growing telehealth industry nearly as much.
Providers are Fighting Illegalities from Insurance Payers
What is going on in healthcare right now has the potential to really affect your practice. Be ready and brace yourself for changes.
Value-Based Payment, MACRA and the Obesity Epidemic
MACRA, along with value-based payments, have the ability to produce significant population health improvements, here's how.
Meeting Medicare Requirements to Report Telehealth Services
Using telehealth services? Here are the basics on reporting this to Medicare, in order to get properly paid.
When a Patient Leaves Your Practice for Good
Dr. Daniel Hoffman's guide on what to do if your patient has to leave your practice, for one reason or another.
How to Handle an Audit from Medicare or Other Payers
Regardless of who the payer is or the stated purpose, every potential audit inquiry should be taken seriously by your practice.
What to Do When You are Sued for Malpractice
Have you gotten a notice that you are being sued for malpractice? Here are some steps you should take, experts say.
The Delicate Act of Dropping an Insurance Plan
As a solo physician, it's not easy to drop an insurance plan when you know that could have a negative impact on your patients.
Managing a Practice's Accounts Receivable
Knowing you practice's accounts receivable is critical, and knowing how to manage it is key to your bottom line.
Patient, Doctor Groups React to AHCA Cost Estimate
Almost three weeks after the bill narrowly passed through the House, the bill's CBO score was made public, drawing criticism.
ACA vs. AHCA: Readers Weigh In
In our recurring blog "Inbox," we get reader feedback on the future of healthcare reform.
CMS Abusing Authority to Revoke Medicare Participation
Why this is a challenging time for providers who are finding themselves penalized excessively by CMS and without appropriate recourse or justice.
Collecting from Payers and Patients Is Draining
An administrative director reflects on the many emotions of collecting money from payers and patients in today's healthcare climate.
Addressing Physician Concerns about MACRA and APMs
Uncertainty about the future of the ACA means continued concerns about initiatives already underway.
Transitional Care Management: Coding and Documentation in Brief
Everything you want to know about coding a transitional care management encounter, including what services are included.