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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.
   Are ACOs really going to be any different than HMOs?
   Medical groups approaching exchanges with great caution
   Consider options carefully when a hospital recruits you
   You should have a 2.4% income increase coming your way
December 1, 2013 - Issue 12 - View Full Issue
   Tax advantages and risks should be major issue when selling a practice
   Consider Stark Law, options when selling ­practice
   CMS might pay for telehealth, chronic care ­without visit
   Maximize revenue with attention to detail
   Buying a practice just as challenging as selling
November 1, 2013 - Issue 11 - View Full Issue
   'Catastrophic backlogs' feared if CMS will not test ICD-10 with physician practices
   Still no clear choice in ACO models, but some developing a track record
   Legislators pressing for repeal of SGR, more sensible replacement
October 1, 2013 - Issue 10 - View Full Issue
   National transparency program could change revenue in your practice
   Commercial insurers less likely to offer 'upside-only' deals in ACOs
   Prepare now for coordinated, cost-effective care
September 1, 2013 - Issue 9 - View Full Issue
   ICD-10 transition should be major focus now for physicians
   Not the time to memorize new codes
   Coding needs expected to spike late this year, into 2014
   Don't count on another deadline extension, CMS warns
   A guarantee for a smooth transition to ICD-10?
   ACOs, exchanges still leave many with ­questions about reimbursement, billing
   Exchanges will look for ways to lower costs
   Nine of 10 physicians won't recommend ­healthcare as a profession
   Electronic records can lead to better coding, more accurate reimbursement
   Survey finds quality measures figure into pay
August 1, 2013 - Issue 8 - View Full Issue
   ACA prompting managed care changes, physicians scrambling to respond
   Referral paths will be all-important when deciding future path for your practice
   Kaizen method helps multispecialty practice improve numbers in a big way
   ACOs will change the way you practice medicine, how you get paid
   Compensation on rise, but more focus on quality for physicians
July 1, 2013 - Issue 7 - View Full Issue
   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 - View Full Issue
   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 - View Full Issue
   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 - View Full Issue
   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 - View Full Issue
   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 - View Full Issue
   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 - View Full Issue