Reimbursement

The AMA is pressing CMS to withdraw a proposed 50 percent cut for office visits billed the same day as a procedure.

Medicare wants to pay half for the lesser service on same-day claims. Our new handbook works out what modifier 25 encounters stand to lose.

Medicare would pay for RPM and RTM only when practice-employed clinical staff do the work under the CY 2027 fee schedule proposal.

A new Physicians Practice handbook breaks down the 2027 Medicare fee schedule proposal, with worked math on what practices stand to lose.

MGMA's Anders Gilberg says the cuts land hardest on independent groups, calls MVPs 'MIPS on steroids' and expects any fix to wait for a lame duck Congress.

Physician pay rose in 2025 even as productivity fell, MGMA data shows. MGMA's Andy Swanson on what the split means for practices.

Using the add-on code to get paid for continuing relationships with patients who have complex conditions.

From data normalization to contract alignment and provider engagement, learn how organizations can overcome the biggest HEDIS and Stars challenges by shifting from compliance checklists to a patient-centered, quality-driven approach.

Reimbursement inches up, but new efficiency rules and telehealth changes may leave independent practices feeling squeezed.

Five tips to ensure better documentation and, along with it, better patient care and improved reimbursement.

With the right strategies, independent practices can ensure they are financially sustainable while continuing to provide high-quality care to their patients.

Your weekly dose of wisdom from the Physicians Practice experts.

Avoid these common mistakes to achieve financial success for your practice.

Lawmakers tout spending plan, but medical groups respond with ‘dismay,’ say seniors’ health will be at risk.

Reducing manual processes can result in increased revenue while freeing up staff.

Honing your approach when negotiating with insurers can lead to better reimbursement rates.

Small and midsize practices are well positioned to negotiate contracts with payers.

Why you should pay attention to the future of direct primary care.

Code accurately with the appropriate documentation to substantiate medical necessity.

Physician's Practice® spoke with Elizabeth Woodcock, founder and Principal of Woodcock and Associates, about what physicians need to know when setting up telehealth services at their practice.

In part 2 of our discussion with Banker’s Healthcare Group, hear from the President of Patient Lending, Keith Gruebele, on how these programs can benefit your practice by extending the amount of patients that can receive and finance your services.

CDI can be a critical initiative that not only increases reimbursement revenue but also enhances the patient experience.

A model for re-focusing on the value stream through your existing resource pool.

It will take more than a face value commitment to telehealth for physicians and patients to feel the impact.

Discomfort or trepidations aside, you’ll have to answer these tough, but inevitable, questions.