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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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Revenue optimization more challenging than ever before
Physician group uses new strategies to improve revenue
Reader question: How to use 'bill above' in reimbursement coding
Production not only influence on compensation levels for physicians in academic settings
CurrentCare is first statewide HIE to exchange behavioral health data
HHS finalizes rule guaranteeing 100% funding for new Medicaid beneficiaries
CMS and California partner to coordinate care for Medicare-Medicaid enrollees
June 1, 2013 - Issue 6 -
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Doctors, congressmen call for end to fee-for-service
Internists issue plan to improve healthcare system, end 'assault' on patient-physician relationship
Electronic records could cost you money instead of improving revenue
HHS announces 2013 agenda to bring down costs, improve quality of care
DOJ and HHS announce record-breaking recoveries from fight against fraud
May 1, 2013 - Issue 5 -
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Don't throw money away with leases, too many loans
Pathologists grow revenue through outreach to specialists
Don't forget disability coverage when reviewing insurance needs
Michigan doctors launch ACO for Medicare patients
AMGA reports growth in 2012, multiple accomplishments
Most physicians not meeting PQRS quality reporting requirements
April 1, 2013 - Issue 4 -
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106 new ACOs mean physicians are pleased with the models so far
New report says ACOs will bring many challenges for physician practices
You actually have a good chance of overturning a denial, so don't give up in the initial rounds
OIG urges more training on Medicare policies for ALJ and QIC staff
'Frequent fliers' in appeals process called a serious problem by OIG
Physician pay cut held off once again, but the annual crisis is getting old
March 1, 2013 - Issue 3 -
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Now more than ever, review managed care contracts closely
Lower copays, use of mail order improve BP med adherence
ACOs, other changes may change practice model, liability risks
CRNAs get full pay, primary care physicians get increase in 2013
Fewer consultations means higher primary costs, study suggests
Kaiser gets top marks for effectiveness of care
February 1, 2013 - Issue 2 -
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Group purchasing can boost revenue, reduce costs
Know your contract, plan rules to minimize denials
CMS issues final OPPS and ASC rule with major change
CMS issues Medicare Physician Fee Schedule final rule
Practice uses software to achieve Stage 1 meaningful use
January 1, 2013 - Issue 1 -
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Intelligence Unit
