Practice Management

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.

CMS wants to create additional ACO models to increase both participation and risk and reward opportunities.

How physicians can manage growing technology obligations in the practice.

It shouldn’t be surprising that, in this constantly changing ecosystem, more practices are struggling to maintain financial homeostasis.

Juggling patients, staff and payor needs will become more important as administrative work increases.

It’s possible to maintain a viable, even thriving practice if physicians confront challenges and identify fixes that can improve their lives and the health of their patients.

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.

A practicing internist and a coding specialist analyze three patient encounters and explain their reasons for the coding levels they assign to each.

Telehealth can't replace personal encounters with patients, a physician writes

A reader says that electronic health records are costly and harmful to practice productivity.

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

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?