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Managed Care Contracting and Reimbursement Advisor
Managed Care Contracting & Reimbursement Advisor tells you exactly what you must know and do to successfully negotiate the best deal with HMOs, PPOs, and other payors - and get bigger and faster reimbursement!
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ICD-10 coming sooner than you think, will radically change reimbursement
Concierge medicine could be the solution to falling revenue, uncertainty
Practice offers lessons learned from attesting to Stage 1 meaningful use
Quality, savings possible with coordination of dual eligibles
December 1, 2011 - Issue 12 -
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Health insurance exchanges will bring change to physician reimbursement
Don't get caught in a rental network by accident
MGMA, AAFP both call for major changes to Medicare Part B fee schedule for 2012
'Accounting of disclosures' rule no good, should be withdrawn, MGMA says
Medical groups suffer continued financial losses in most regions, average increase in compensation at 2.4%
November 1, 2011 - Issue 11 -
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Patient motivation a must for providing accountable care
Stage 2 of meaningful use has 'nearly impossible timing'
Avoid common pitfalls of implementing EMRs
Physician takes solo practice through Stage 1 MU
Practice manager income holds steady, many groups looking to patient-centered homes
October 1, 2011 - Issue 10 -
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Join an ACO? Crunch the numbers carefully before deciding
Medicare payment set to drop 29.5% in 2012 if nothing done, some look to alternatives
Physicians attesting to Stage 1 meaningful use
AMA report card shows increasingly inaccurate claims payments
Internists earning more, but radiologists see a downturn
September 1, 2011 - Issue 9 -
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Surgeon opts out of managed care, seessteady revenue
'Economy of healthcare is broken,' benefit manager says
More physicians receiving on-call pay daily or annually
Groups say ACOs too complex, offers little benefit
August 1, 2011 - Issue 8 -
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Five quality standards needed to share ACO savings
Do EHRs improve quality? Data not clear yet
Medicaid enrollment rising
Payers may not be ready for ICD-10, 5010 even if you are
Attracting new patients, collecting money keys to viability
July 1, 2011 - Issue 7 -
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Revenue cycle mapping can find problems, improve efficiency
Understand the market; time your renewals for best terms
CMS introduces new Center for Medicare and Medicaid Innovation
CIGNA reports higher quality, lower costs with ACO trials
June 1, 2011 - Issue 6 -
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Even small providers benefit from EHRs, survey shows
CMS to measure 5010, ICD-10 readiness
CMS changes enrollment policies
Shifting health arena means more diligence required for contract negotiations
Watch for hidden requirements of meaningful use
Forget that "-GZ" modifier unless you want an automatic denial
May 1, 2011 - Issue 5 -
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Signature requirements still confounding physicians despite CMS help
Care management program aims to reduce Medicare costs
Hospital's medical staff loses fight with Anthem
Patient-centered homes will change managed care for doctors
April 1, 2011 - Issue 4 -
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March 1, 2011 - Issue 3 -
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TRICARE contract can make you a federal contractor, with major obligations
Prepare now for ICD-10, much work to be done before deadline
February 1, 2011 - Issue 2 -
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Capitation catching on with some providers, but decision can be difficult
One group’s experience with capitation: Better revenue and security
California insurers to pay millions for failing to reimburse properly
CMS information suggests multiple ACO types will be allowed
January 1, 2011 - Issue 1 -
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Sometimes you just have to end it: How to terminate a contract that?s not working
Protect against insolvency when negotiating contracts; look for warning signs
Mitigate revenue impact brought by denied claims
AMA urges providers to take action on inaccurate payments, says one in five are wrong
Intelligence Unit
