Legal

The provision of the Affordable Care Act that raises Medicaid reimbursement rates is about to expire. Here's what it may mean to your practice--and what medical societies are trying to do about it.

Though the second enrollment period of the Affordable Care Act has been operating fairly glitch free, the healthcare reform law and the Obama administration are facing major scrutiny from Republicans.

Knowing which CPT code to use for an evaluation and management visit can boost your revenue and help avoid audits

Opportunities and strategies for billing non-face-to-face encounters

A national survey found that patients are also evaluating physicians based on diagnosis accuracy and wait times

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

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.

Are there limits to what physicians can ask their patients?

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

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.

Deductibles, copays eating greater share of Americans’ incomes

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.

Projections for new enrollees during the second open enrollment period for the exchanges have varied between government agencies.

Five-year trends in malpractice premiums broken out by a variety of categories

Medical Economics unveils its exclusive annual survey of physicians

Salaries remain flat as physician practices face lower reimbursements, rising costs and challenging market forces

A reader opposes the merger of osteopathic and allopathic medical training into a single program.

Insurance premiums remain mostly unchanged from a year ago

Authors in JAMA analysis argue that emerging models of medical liability should help fix a "stable but still dysfunctional" malpractice environment for physicians and patients

Study finds slower spending increases, better outcomes compared with traditional payment methods

Primary care providers will receive more payments for care coordination and telehealth services under the 2015 Medicare Physician Fee Schedule released by the Centers for Medicare and Medicaid Systems (CMS) October 31.

Could a Republican-controlled House and Senate cause a healthcare shakeup? Experts weigh in.

Reimbursing Medicaid at same rate as Medicare would help expand access to primary care, lawmakers told

More than 100 organizations have petitioned Congress to halt cuts to community-based primary care programs before funding expires at the end of 2015.

Former national coordinator named assistant health and human services secretary

Some critics of the EHR incentive program have said the slow rate of attestation shows that the program should be revamped or dropped.

Physicians are feeling more positive about the Affordable Care Act (ACA) this year compared with 2013, according to a new survey.

Understand the legal issues of letting employees use their personal smartphones and other mobile devices for work purposes.

A new report suggests that primary care can phase out fee-for-service models by incorporating multiple healthcare teams, diverse pay models and technology.