Practice Management

Chronic care management can become an additional revenue stream for practices, but it requires understanding how to use the codes.

Rising costs can affect treatment adherence and lead to negative outcomes for patients. But physicians can take some small steps to help their patients overcome this challenge.

Despite changes to the Health Insurance Portability and Accountability Act (HIPAA) that dramatically affect the risk profile of medical practices, many have yet to establish a full arsenal of defenses against data breaches. The simple fact is that failure to update your protections can multiply your vulnerabilities and fines if a breach occurs.

More than one-third of American adults are obese and this can lead to a wide range of comorbidities and other health problems. Health professionals need to communicate with patients to help them manage obesity.

Insurance carriers have come a long way when it comes to reimbursing for obesity-related treatment. However, you will need to make sure that your diagnosis coding is specific and complete in order to support medical necessity.

Physicians who leave independent private practice to join a large group or a hospital system have different considerations when it comes to medical professional liability (MPL) insurance.

There are many ways to have a medical career. Choosing whether to take employment, buy a practice, or start from scratch involves assessing your personal and professional values, and the specific location you are targeting. The bottom line: Choose what will make you personally and professionally happy.

A physician’s roadmap to performance improvement must include best practices to reduce and reverse unpaid claims

Will employing mid-level providers put physicians at risk?

The provider that accepts a large number of Medicaid patients and makes it work for his or her practice is much like the fabled unicorn: there are rumors that they exist, but no one has actually seen them.

Regardless of how well physicians or their coders understand the new coding system, practices will not fare well on reimbursement unless their providers can document encounters in sufficient detail to support the new codes.

A monumental data breach at one of the nation’s largest insurance providers has spurred a bipartisan effort to reexamine the Health Insurance Portability and Accountability Act (HIPAA).

The success rate for physicians attesting to meaningful use for electronic health records is improving, but remains dismal: More than three-quarters of eligible professionals (EPs) so far have not attested to any stage of the meaningful use program.

The Office of the National Coordinator of Health Information Technology (ONC) is aiming for better national interoperability by 2017.

Five primary care facilities will test a new initiative that will allow patients to not only view, but add to their physicians’ visit notes in their electronic health records (EHR) systems

Becoming a PCMH is more than just a change in the way a practice is reimbursed. It is a change in the medical culture.

Accelerated by the Affordable Care Act, high-deductible health plans have emerged as a major trend in healthcare. Placing more financial responsibility on patients for medical services has a direct impact on physician practices.

How to weigh the risk and the benefits to your practice of these care delivery and payment models

Tips on taking on a leadership position for younger physicians

Answers to physician questions about preventative services in a primary care setting

Thirty-six states have “apology laws” that prohibit certain statements or expressions of sympathy by a physician from being admissible in a lawsuit. Experts in the field say that while the laws may help some physicians feel more comfortable about expressing empathy, they aren’t really necessary to avoid lawsuits. Instead, good patient-physician relationships and open disclosure are the keys to responding successfully to a bad outcome.

Board will no longer require several elements of certification process; president admits “we got it wrong”

Five primary care facilities will test a new initiative that will allow patients to view and add to their physicians’ visit notes in their electronic health records (EHR) systems.

The November round of ICD-10 testing conducted by the Centers for Medicare and Medicaid Services (CMS) has been deemed a success through a poll conducted by the American Academy of Professional Coders (AAPC).

Not sure how to start preparing for ICD-10 in your own medical practice? These strategies can help physicians prepare for the transition set for October 1, 2015.

Responding to pressure from physicians, hospitals and lawmakers, the Centers for Medicare & Medicaid Services (CMS) plans to give electronic health record (EHR) users more flexibility in meeting the requirements of its meaningful use program.

As of November 1, 2014, only 2% of eligible professionals had attested to Meaningful Use 2. This is not good news for thethousands of independent physician practices that rely on Medicare payments: the Center for Medicare Services is slated to handout 1% penalties this year for MU2 slackers

Here are seven strategies your practice can use to make sure you meet all the requirements of the MU program should the auditors come calling, and ensure you can keep the incentive money you earned.

As medical practice owners continue to ready their practices for International Classification of Diseases-10th revision (ICD-10) implementation in October, lawmakers are still undecided as to whether another delay will be included in sustainable growth rate (SGR) legislation slated for the spring.

In order to continue funding the expiring bonus payment for primary care physicians, the commission will suggest a 1.4% payment cut in 75% of non-primary care services