Practice Management

Primary care physicians make millions of referrals to specialists each year, yet there is little protocol to follow and few tools to rely on when determining who will take their patient’s care to the next level.

As the evolution of health information technology forges for-ward, electronic health record (EHR) systems will continueto transform the practice of medicine.

Administrative challenges are nothing new to physician practices. But physicians and practice administrators across the United States now describe significant struggles to adapt to what amounts to far greater involvement from payers and regulators related to clinical decisions on a variety of fronts, such as prior authorizations, case manager involvement and network cancellations.

A practice in Connecticut details the impact of removal from a payer's network

Though the Affordable Care Act (ACA) is driving interest in telemedicine, providers are still having difficulty getting paid for using the technology, according to a survey.

Study says many low-cost or free options are available to help practices prepare

Though 73% of physicians say they prefer to keep their practices independent, 44% say they will likely sell their practices in the next 10 years.

Primary care physicians (PCPs) often refer patients to specialists when they face a complicated or perplexing diagnosis, or one that is beyond their purview. But is that always the right decision for the patient? Some experts say that it absolutely is, but others say knowing the patient is more valuable than being an expert in one specific area.

The importance of establishing internal collections policies before turning to a collections agency

A physician with decades of experience reveals how he maintains his enthusiasm for the medical profession

Are there limits to what physicians can ask their patients?

Watching parents who are physicians practice medicine often has a profound impact on a child’s decision to purse the same career.

Becoming familiar with the details of evaluation and management billing codes can reduce your chances of being audited.

As the numbers of nurse practitioners and physician assistants surge, primary care physicians can improve patient care and increase revenue by bringing them into the fold.

The Ebola virus continues to be one of the top healthcare concerns in the minds of Americans, according to a Gallup poll.

The first weekend of second open enrollment period on the healthcare exchanges was far smoother than last year’s launch, due to the retooled Healthcare.gov website and new leadership.

An overall criticism of the MOC is that it offers no credit for day-to-day practice improvements, study says.

A well-structured strategic business planning process can help your practice in both the short and the long term

Deductibles, copays eating greater share of Americans’ incomes

The majority of physicians could be facing penalties for not meeting meaningful use 2 requirements, and AMA says penalties should be removed.

The health IT leaders point to multiple leadership changes within the ONC that add to possible instability in the agency.

Revenue pressures facing office-based physicians continue to intensify. Changes to public and private payer reimbursements, implementation of the Affordable Care Act measures, and escalating costs of doing business will require physicians to manage their revenue proactively.

While CMS reports that nearly most physicians have implemented EHRs, the next challenge will be to meet Stage 2 criteria as part of the federal EHR incentive program.

The fate of President Barack Obama’s signature Affordable Care Act (ACA) could hinge on a legal technicality now that the U.S. Supreme Court has agreed to hear the case King vs. Burwell concerning the premiums subsidies available to millions of middle- and lower-income patients in the form of tax credits.

The ICD-10 transition represents a major update to how providers get paid, impacting almost every aspect of service delivery, billing, claims processing and reimbursement.