Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Commercial Payers

7 Reasons Why You Should Regularly Compare Reimbursement to Contracted Rates

According to an MGMA poll from earlier this year, only about 50 percent of respondents said they compare their actual reimbursement to payer contracts at least quarterly. The other 50 percent were unsure how often they do it or don’t do it at all. So what’s the big deal? Why is important to regularly compare the payments you receive to the contracted payment rates you’ve negotiated? Here are 7 reasons you should establish a plan for your own practice and begin monitoring your payer payments today. Read more

The Problem with Comparing ER Charges

Emergency physicians charge uninsured or out of network patients as much as four times more than what they are willing to accept in payment from Medicare, according to a recent study from Johns Hopkins School of Medicine. But the American College of Emergency Physicians says the study relies on flawed methodology and incorrect assumptions about the cost of emergency care. Read more

When Was the Last Time You Reviewed Your Practice Fee Schedule?

With so much riding on a practice’s fee schedule, it seems important that physicians routinely review their fee schedules. But do they? How long has it been since you dusted off the charge list of procedures you routinely perform? And more importantly, how do you know when your fee schedule needs to be changed or updated? Read more

Anesthesiologists Respond to Recent Study about Out-of-Network Balance Billing

In the ongoing debate about out-of-network balance billing, or so-called “surprise billing,” a recent national study found that the average anesthesiologist charges at least four times what Medicare reimburses for the same services. But the American Society of Anesthesiologists says the study focuses on the wrong issues. Read more

Emergency Physicians Respond to Recent Study about Out-of-Network Balance Billing

In the ongoing debate about out-of-network balance billing, or so-called “surprise billing,” a recent national study found that the average emergency physician charges at least four times what Medicare reimburses for the same services. But the American College of Emergency Physicians says the study focuses on the wrong issues. Read more

© Copyright 2017