Payers

The AHCA would have likely brought back "post-claims underwriting," which would have been bad news for physicians.

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.

This month's coding column: What do physicians have to know about coding for telemedicine visits?

Feeling burnout symptoms, physicians nationwide are changing their practice models to subscription-based clinics.

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.

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.

By thoroughly understanding your payer contracts, you take a step towards insuring timely and accurate payments.

Insurance companies are grading you. You may know this, but do you know how to change your score?

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.

The complete results to the 2016 Fee Schedule Survey on how much practices get paid for common services from payers.

Physicians often look at their relationship with payers through an us vs. them mindset. That's the wrong tract to take says one doc.

Value-based care is a scary prospect for many physicians. Here are seven reasons why they shouldn't be afraid.

The words "repeal and replace" were thrown around during the campaign, but the reality is much more unclear for government officials.

The current state of our relationship is an illogical, Kafkaesque nightmare with a deadbeat. Yes, we're talking about you, payers.

Data-sharing collaborations between payers and providers have potential to improve the bottom line for healthcare organizations and the health of their patients.

Can small practices make it in a value-based world? Payers and experienced practices explain how this shift is possible.

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.

The 2016 Physicians Practice Fee Schedule Survey reveals how much more employed docs get paid than independent physicians for certain CPT codes.

This doctor is learning that genetics, nutrition analysis, microbiome surveys, and other personalized care services is what patients want.

Rep. Tom Price was confirmed by the Senate along party lines as the next Secretary of the Department of Health and Human Services.

A new infographic from RemitDATA reveals which five specialties and five procedures had the highest denial rate in 2016, as well as the five most common reasons why.

As the healthcare system in the U.S. undergoes a shift under MACRA, it's important to look at "access to care" and what it means.

It's almost Valentine's Day. Here are 10 "valentines" that you can send to your payers, to improve and develop this important "relationship."

While it's uncertain what will happen with the ACA this year and healthcare policy in general, it's clear something needs to be done, says one doc.

What do practices get paid for common codes? The results to the 2016 Fee Schedule Survey, featuring more than 1,100 respondents from across the country, provide the answers.