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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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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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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Intelligence Unit
