Reimbursement

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.

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.

What providers and practice managers need to do to ensure the continued growth of these services.

Physicians: Negotiate your rates. Hold the payers accountable.

It’s not uncommon for private practices to receive rates far below Medicare standards.

The pandemic is changing physician leverage.

Practices could face steep financial consequences from claim rejections if not adjusted.

Physician practices are facing an uphill battle in their quest to remain independent

Stop relying on Excel spreadsheets and calendar alerts. Improve your credentialing efficiency, accuracy and speed with technology.

Medical practices continue to be squeezed by increasing costs and decreasing reimbursement, emphasizing the need for better clinical coding and editing technology that can improve claims even before they’re submitted.

It’s crucial to have a robust program for responding to denied claims. Here’s how to build one.

Adding appropriate technology to your practice can have profound effects on the well-being of your operations, allowing your workforce to focus on what they do best while you concentrate on patient care.

Payers don’t dole out equal pay for equal work, so it benefits your physician practice to understand who pays what (so you can negotiate more).

Though traditional fee-for-service reimbursement is tied to volume, quality patient care can’t be increased by simply adding more appointments. 

Increase your medical practice's revenue by understanding payer reimbursement tactics.

Substandard care can lead to reduced payments for hospitals with excess readmissions.

Community health information exchanges appear to offer many advantages, including increased revenue for physician practices.