
Narrow networks have potential negative consequences for physicians who are included or excluded.

Narrow networks have potential negative consequences for physicians who are included or excluded.

Medicare's value-based modifier is a new fee schedule adjustment that will reward or penalize physicians for quality of care in 2015.

Answers from our coding expert on questions regarding discharge code requirements; complex care coordination; and counseling code confusion.

Our healthcare system is fragmented, misaligned, full of conflicts of interest, and tragically ineffective. Here are four strategies to fix it.

PQRS is extremely complicated and in a state of flux. These measures are not going away and are already seeing uptake with private payers.

A Texas case investigating physician investment in compounding pharmacies could have nationwide implications for any form of ancillary service.

Seen as a prime solution to reducing healthcare costs, bundled payments are on the rise. Here's how to know if they are right for your physicians and practice.

Bundled payments present "significant opportunities" to surgical practices, according to consultant Jamaal Campbell. Here's why.

The recent changes in healthcare are starting to create more uniformity in healthcare models; but do we still need options for MDs and patients?

After converting to a direct-pay practice two years ago, this physician has learned a thing or two and is glad he made the change.

Even though the incentives for meaningful use are winding down, each physician must evaluate the costs vs. benefits of implementing an EHR for himself.

Using RVUs to conduct a cost analysis at your medical practice is not only cheap and easy, it is very effective at assessing the value of your payer contracts.

Alternatives to traditional fee-for-service practice come in all shapes and sizes. Here's one physician's unique approach.

Membership medical practices strive to provide patients with more access to physicians. Here, one physician shares how that is affecting his personal time.

In a new Age of Transparency regarding physician-industry collaboration, there are ways to advance medicine and allay patient concerns over payments.

Five ways your medical practice can better control its payer contracts and boost reimbursement.

Many of the health insurance exchange plans include high deductibles, so getting these patients to pay their portion of your fee is critical.

If your medical practice is not already recognized as a Patient-Centered Medical Home, it may be time to jump on the bandwagon.

The results of our 2014 Fee Schedule Survey are in. Here's a look at some of the key findings, and how physician practices can react.

If your medical practice wants to get paid for services, do not accept financial responsibility for medical expenses that your patients incur.

Test your patient collections knowledge with our interactive quiz, featuring claims and denial data from RemitDATA from the fourth quarter of 2014.

Patient deductibles have gone from getting patients' "skin in the game" to being "skinned alive." Their problems are physicians' problems.

Winter weather often leads to an increase in hospitalizations. Make sure you document all preexisting conditions prior to hospitalization.

CMS' home-care demo appears to cut costs, but medical practices are still waiting to share in savings.

MedStar's house call program reduced total Medicare costs by 17 percent over two years, demonstrating viability of Medicare's Independence at Home program.