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.
ACA Repeal Passes First Hurdle, Moves to Senate
The American Health Care Act has passed the House and moves to the Senate, despite ardent opposition from the AMA and other physician groups.
Boosting MIPS Scores Sets the Stage for Increased Revenue
An in-depth look at maximizing your quality component on the MIPS pathway of MACRA. How do you choose the right measures?
What Patients Want in Billing and Payment
A recent survey explores how patients and practices don't see eye to eye when it comes to billing and payment.
The Prior Authorization Process is Needlessly Complex
There are several redundant questions and processes when trying to obtain a prior authorization. It needs to be simplified.
An Open Letter to Patients
A healthcare professional takes time to address some of the misconceptions patients may have when they present for care.
Stay on Top of Provider Credentialing and Revalidation
Providers, preparing yourself for upcoming credentialing and revalidations is important. Don't forget!
Nearly All Payers Staying in ACA Marketplace in 2018
Uncertainty of the ACA aside, a new survey indicates most payers will stay in health plan exchange next year.
Are Free-Standing ERs a Rip-Off?
Unaffiliated ERs are becoming popular due to their convenience, but are the high prices worth the level of care?
Paper-Based Billing is Ancient History in Healthcare
Today's practice must be in tune with the reality of healthcare consumer demands, including using electronic billing services.
Concierge Medicine Can Save Your Practice
Concierge medicine is one model a private practice physician should consider if finances become tight.
How Payers Not Paying Affects Providers
Do you have fail-safe measures in place that alert you when a payer is withholding your payments? If not, it's time to make a plan.
Repeal and Replace Debacle Not All Bad News for Physicians
The AHCA would have likely brought back "post-claims underwriting," which would have been bad news for physicians.
Post ICD-10 Grace Period, Practices Coding Faster
A new infographic from RemitDATA reveals practices have seen improvements in processing speed, denials, and more since the end of the ICD-10 grace period.
Coding for Telemedicine Visits
This month's coding column: What do physicians have to know about coding for telemedicine visits?
Physicians Find Relief from Burnout in DPC
Feeling burnout symptoms, physicians nationwide are changing their practice models to subscription-based clinics.
Number of Physicians Increases during ACA Era
A recent research effort has uncovered that the number of physicians has actually gone up during the Affordable Care Act era, despite claims to the contrary.
Pros and Cons of Switching to A Subscription Practice
If you are feeling burned out from the demands of insurance, EHR documentation and more, consider a subscription practice. Here's the good and bad.
Are Payers Compensating Your Practice Properly?
By thoroughly understanding your payer contracts, you take a step towards insuring timely and accurate payments.
How Your Payer Directory Profile May Harm Your Practice
Insurance companies are grading you. You may know this, but do you know how to change your score?
What Should Physicians Make of the GOP Health Bill?
Two major medical groups are speaking out about the GOP health bill. The AMA say it's critically flawed, while MGMA is taking a more measured approach.
Complete Results to the 2016 Fee Schedule Survey
The complete results to the 2016 Fee Schedule Survey on how much practices get paid for common services from payers.
Look at Payer Relations from a Different Mindset
Physicians often look at their relationship with payers through an us vs. them mindset. That's the wrong tract to take says one doc.
7 Reasons to Join a Payer's Value-Based Payment Plan
Value-based care is a scary prospect for many physicians. Here are seven reasons why they shouldn't be afraid.
Physician Organizations Warily Eye ACA Repeal Efforts
The words "repeal and replace" were thrown around during the campaign, but the reality is much more unclear for government officials.
A Love Letter to Our Favorite Payers
The current state of our relationship is an illogical, Kafkaesque nightmare with a deadbeat. Yes, we're talking about you, payers.
It’s Time for Payers and Providers to Work as Partners
Data-sharing collaborations between payers and providers have potential to improve the bottom line for healthcare organizations and the health of their patients.
Payers and Practices Partnering on Value-based Initiatives
Can small practices make it in a value-based world? Payers and experienced practices explain how this shift is possible.
A Doctor's Interpretation of the Failed Aetna-Humana Merger
Humana and Aetna's merger didn't work out - but the real story is how much Aetna was willing to pay to just back out of the agreement.
Independent Physicians Struggle to Get Paid Equally
The 2016 Physicians Practice Fee Schedule Survey reveals how much more employed docs get paid than independent physicians for certain CPT codes.
Personalized Medicine: Patients Want This Kind of Care
This doctor is learning that genetics, nutrition analysis, microbiome surveys, and other personalized care services is what patients want.