Payers

What is going on in healthcare right now has the potential to really affect your practice. Be ready and brace yourself for changes.

MACRA, along with value-based payments, have the ability to produce significant population health improvements, here's how.

Using telehealth services? Here are the basics on reporting this to Medicare, in order to get properly paid.

Dr. Daniel Hoffman's guide on what to do if your patient has to leave your practice, for one reason or another.

Regardless of who the payer is or the stated purpose, every potential audit inquiry should be taken seriously by your practice.

Have you gotten a notice that you are being sued for malpractice? Here are some steps you should take, experts say.

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.

Knowing you practice's accounts receivable is critical, and knowing how to manage it is key to your bottom line.

Almost three weeks after the bill narrowly passed through the House, the bill's CBO score was made public, drawing criticism.

In our recurring blog "Inbox," we get reader feedback on the future of healthcare reform.

Why this is a challenging time for providers who are finding themselves penalized excessively by CMS and without appropriate recourse or justice.

An administrative director reflects on the many emotions of collecting money from payers and patients in today's healthcare climate.

Uncertainty about the future of the ACA means continued concerns about initiatives already underway.

Everything you want to know about coding a transitional care management encounter, including what services are included.

The American Health Care Act has passed the House and moves to the Senate, despite ardent opposition from the AMA and other physician groups.

An in-depth look at maximizing your quality component on the MIPS pathway of MACRA. How do you choose the right measures?

A recent survey explores how patients and practices don't see eye to eye when it comes to billing and payment.

There are several redundant questions and processes when trying to obtain a prior authorization. It needs to be simplified.

A healthcare professional takes time to address some of the misconceptions patients may have when they present for care.

Providers, preparing yourself for upcoming credentialing and revalidations is important. Don't forget!

Uncertainty of the ACA aside, a new survey indicates most payers will stay in health plan exchange next year.

Unaffiliated ERs are becoming popular due to their convenience, but are the high prices worth the level of care?

Today's practice must be in tune with the reality of healthcare consumer demands, including using electronic billing services.

Concierge medicine is one model a private practice physician should consider if finances become tight.

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.