Reimbursement

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.

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

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.

The Affordable Care Act required health insurance plans to include behavioral health coverage, and that has benefits for patients, physicians and payers alike.

Cognitive screenings are part of Medicare’s Annual Wellness Visit. But what’s the best way for physicians to empower patients on the subject of brain health?

If you're getting paid in work RVUS, then you need to understand what you’re being paid for and how to calculate your compensation.

Coding expert Bill Dacey clears up some confusion about split billing and combination visits.

One independent practice has improved patient outcomes, employee efficiency, and practice revenue by implementing a chronic care management program.

Don’t settle for a bad deal. Boost your profits by renegotiating your payer contracts.

Six tips that can help physicians collect on services not covered by third parties.