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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! Subscribe to this newsletter.
   Practice gains $3.5 ­million in one year with better patient flow, efficiency
   Better practice efficiency comes with automation
   Nearly half of all New Jersey physicians are considering changing how they practice medicine
   Supreme Court declines review of Medicare Secondary Payer decision
   Fraud, waste, and abuse found in government-run ­medical ­programs
December 1, 2012 - Issue 12 - View Full Issue
   ACA bringing major ­revenue changes already, and more to come
   Hybrid concierge programs help bring more efficiencies to medical practices
   HHS announces Stage 2 in promotion of electronic health records
   Primary care practices to participate in public-private partnership
   Pay-for-performance creates major savings in ­demonstration group
   New AMA online community helps physicians with ­managed care contracts
November 1, 2012 - Issue 11 - View Full Issue
   ACA could have dramatic effect on physician reimbursement
   Administrators told to stop making patient care decisions
   CMS-proposed rule would increase payment to family physicians by 7%
   2012 PayerView rankings reveal greater collection burden for providers
   $5 million in overpayments for dubious Medicare claims filed in 2010
   HHS announces 88 new accountable care organizations
October 1, 2012 - Issue 10 - View Full Issue
   Supreme Court ruling on ACA may drive doctors out, but AMA and others support
   Medicare for power wheelchairs depends on inclusion of clinical template
   U.S. trailing most countries in adopting 'value-based healthcare,' study shows
   ACPE supports alternative to SGR Medicare funding formula
   New study finds significant and growing healthcare ­payment reform activity in U.S.
   'Year of Meaningful Use': EHR users pass 100,000 mark
September 1, 2012 - Issue 9 - View Full Issue
   Personal URLs help improve payment rate, boost revenue?
   You have big data, but what do you do with it??
   HHS making use of big data?
   Debate over whether EHRs will cut costs from ?unneeded tests?
   Physicians say CPT codes benefit only insurer, not their job?
   Patient-reported outcomes affecting reimbursement more?
   Workers' comp payments per claim growing quickly in California
August 1, 2012 - Issue 8 - View Full Issue
   Reform, changing ­industry requires changing your approach to contracts
   More than $5 billion paid in Medicare, Medicaid EHR ­payments; CMS pleased with progress
   Dual eligibles represent an opportunity for your practice
   Massachusetts first to propose payment model for dual eligibles, suggests patient-centered medical homes
   Report recommends adopting new cancer care payment model to reward physicians for health outcomes
   CMS issues final rule for First Choice Option
July 1, 2012 - Issue 7 - View Full Issue
   ICD-10 switch is an ­opportunity for improving profit
   CMS issues 5010 fact sheet for smooth transitions
   ICD-10 Summit shows providers moving forward despite delay
   Poll shows industry is falling behind recommended ICD-10 timelines
   Physicians slow to use IT, losing potential benefits
   Regular urine drug testing offers cost benefits in chronic pain patients
   Ten rights and responsibilities of users of EHRs
   New MGMA survey details influences on physician compensation in academic settings
June 1, 2012 - Issue 6 - View Full Issue
   5010 logjam delaying ­payments to physicians
   HHS delays ICD-10 past 2013 date
   Stage 2 requirements set higher standards for CPOE, other electronics
May 1, 2012 - Issue 5 - View Full Issue
   Achieving meaningful use not always easy, but worth it
   Align patient incentives with your goals in move to ACOs
   Cigna and Weill Cornell launch ACO
   More physicians opting out of Medicare, but data limited
April 1, 2012 - Issue 4 - View Full Issue
   Understand three-day DRG ­payment window to improve reimbursement
   5010 enforced this month, so take action now
   Improve patient billing experience to increase revenue
   CMS adds coverage for services to reduce obesity
   Legislation aims to ensure prompt payment for Medicaid providers
March 1, 2012 - Issue 3 - View Full Issue
   You have more leverage than you think when dealing with denials
   Incident-to billing in OIG's sights this year
   5010 deadline extended but MGMA, AMA say threats still exist
   Final Physician Payment Rule Factors in GPCI
February 1, 2012 - Issue 2 - View Full Issue
   ACO final rule removes many hurdles, makes option more appealing
   ACO antitrust fears addressed by FTC, DOJ
   CMS announces primary care initiative, solicits participation from payers
   CMS proposes first real revision in Medicare CoP since 1986
   RAC auditors find $92 million in Medicare overpayments
January 1, 2012 - Issue 1 - View Full Issue