Blog

Tips for Getting Contracted into
Closed Payer Networks

Since many payer networks are already complete, it is often challenging for providers to get contracted. Therefore, the question is what can you do as a provider of valuable medical services to get into a closed or narrow payer network?

Published Date: March 1, 2019

Overcome Patient Wait Time Frustrations

Patient survey results were recently published by Software Advice that uncovered that your patients are using wait times found online as a determining factor when deciding to make an appointment with you.

Published Date: February 1, 2019

10 Tips for Responding to a Records Request

In the last few years, the number of providers that have received records requests from third-party companies hired by health plans has skyrocketed. The good news for providers and patients is that risk adjustment requests are NOT for determining the medical necessity of ...

Published Date: January 1, 2019

Crack the Code: When To and Not To Utilize Unspecified Codes

You have be under the impression that you should never utilize unspecified codes. This is completely incorrect. Actually, when unspecified codes are used wisely, it can make a significant difference in your ability to get your claims paid.

Published Date: December 1, 2018

Telemedicine and HIPAA: Avoid Compliance Nightmares

You know what a pain HIPAA compliance is for your office. Well, significantly magnify that pain, and that’s telemedicine HIPAA compliance – unless you know what to look for...

Published Date: November 1, 2018

Medical Record Retention and Destruction — One Size Does NOT Fit All

Several weeks ago, a customer called and asked, “How long should we keep our patients’ medical records before destroying them?” Over the years, I’ve heard a variety of answers to this question, and it never seemed...

Published Date: October 1, 2018

Arm Your Staff with 7 Tips for Armed Intruder Preparedness

The problem is, no one wants to believe that this could happen at their practice or in their town. However, based on the facts, this is a terrible mistake...

Published Date: September 1, 2018

Boost Your NPP Reimbursement by 15% with Incident to and Stay Off of Auditor Hit Lists

If you do it right, your NPPs can receive payments for their services at the same rate as your physicians (vs. the normal 85%). On the flip side, one slip-up while navigating the stringent Medicare rules governing incident to can leave you paying thousands in penalties and fines...

Published Date: August 1, 2018

6 Tips to Negotiate the Payer Contract You Want

Payer contract negotiations don’t have to be painful. Consider these action items to help keep you focused, avoid payer pressures, and prioritize your organizational goals to ensure the right outcomes for your practice...

Published Date: July 1, 2018

Telehealth Security: Protect Patient Information and Your Practice

Your practice is responsible for protecting your patients’ ePHI at both the origination site and the distant site. You must ensure that both locations have appropriate administrative, physical, and technical safeguards in place as outlined in the HIPAA Security Rule...

Published Date: June 1, 2018