SPOTLIGHT -
October 26th 2023
Transparency and accessibility are keys to avoiding surprise charges and ensuring patient satisfaction
October 3rd 2023
U.S. Department of Justice, health insurer announce agreement, five-year corporate integrity agreement.
June 14th 2023
Benefits include streamlined workflows, faster payer approvals, fewer claims denials
May 30th 2023
Survey also reveals preference for online payment options
April 11th 2023
Lower patient volume and challenges collecting payments can push practices to the brink
The 5th Annual Advanced Practice Collaborative™
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Advancing Care in Erosive Esophagitis: Towards a Path of Complete Healing
Shaping the Management of COPD with Biologic Therapy
Physician collection rates: What percent, and how much?
Assume a 50% collection rate times the average amount collected per year, per specialty.
Physicians drive the health care economy through commercial insurance billing
Report examines claims submitted by primary care doctors, specialists, and APPs. How do the numbers add up?
Patients want online bill pay: a slideshow
Physicians could get paid more, sooner, when they make it easy for patients to pay their bills online.
Patient collection best practices to boost your bottom line
It’s important to understand current challenges that physician practices are facing with patient collections.
Family physicians call for national plan to transition out of COVID-19 public health emergency
HHS roadmap says some flexibilities won’t be affected, but AAFP wants assurances in policies to avoid disruptions for doctors, patients.
Health equity: The challenge facing physicians in the move to value-based care
‘Winging it’ is not the right approach when providers integrate social determinants of health into care models.
Strategies to keep patients actively engaged with primary care providers
Americans are changing how they use health care. Now is the time for primary care to rebuild relationships with them.
ACA health insurance enrollment sets record for 2023
President, administration tout national record for health insurance coverage.
Medicare leaders explain proposals to make prior authorizations easier and faster
New rules have open comment periods now.
As inflation goes up, people stay away from doctors’ offices
Gallup Poll finds ‘2022 a challenging year for many Americans.’
CMS chief, surgeon general tout possible changes in prior authorizations
Leaders seek physician comments on rule proposals for electronic records, Medicare Advantage plans.
MedPAC recommends raises for physicians, hospitals getting Medicare reimbursement
AMA, hospital group says payments aren’t keeping up with costs of doing business.
Health care affordability got worse, then better, then worse, over two decades
Researchers examine trends for adult women and men before COVID-19 pandemic.
Examining post-pandemic telehealth fraud risks
During and after the COVID-19 public health emergency, expect vigilance by federal regulators.
How to safely make more money as a physician
Negotiate with knowledge and watch out for pitfalls with billing and side hustles.
Medical bills cause confusion for almost 40% of patients
Survey examines causes, solutions for frustrations over health care costs.
Lawmakers line up to support CMS rules to streamline prior authorizations
Bill is pending in Senate, but Medicare action could ‘make health care better for America’s seniors.’
State medical associations join call for Congress to act on Medicare payment cuts
Cut scheduled for 2023 would reduce physician payments by 4.5%.
CMS proposes rule change to speed up prior authorization process
If implemented, physicians and hospitals could save an estimated $15 billion over 10 years.
Three revenue key performance indicators no one talks about
These non-traditional KPIs have a significant impact on collections and cashflow.
Seven ways to ease patient collections in your medical practice
Collecting money from patients is an ongoing challenge that has only worsened with high-deductible health plans.
How can we help patients catch up on preventive care?
Doctors need to address patients’ worries about costs
Why Richard Nixon’s ghost is haunting CMS
Understanding the cuts to physician reimbursement
Five minutes of a doctor’s time could cost patients $50
Cleveland Clinic begins charging for doctors’ time spent responding to some electronic messages
Feds sue Cigna for bogus billing for Medicare Advantage patients
Justice Department says Cigna pocketed millions; complaint follows national news report about widespread fraud by Medicare Advantage insurers.
Physicians go to court over billing dispute resolution regs in No Surprises Act
Texas Medical Association claims arbitration rules give unfair advantage to health insurers.
Four strategies to reduce patient balances
Four simple steps can increase collection of patient balances while also preserving the practice-patient relationship.