Practice Management

The Public Health Emergency (PHE), which has been in place since January 27, 2020, is going to end, although the official expiration date has not yet been determined. Many of the regulations built into 2022 final rulings from the Centers for Medicare & Medicaid Services (CMS) tied changes to the expiration of the PHE. Read Article ›

It is no secret that the past 2 years have brought about major changes, not only in our personal lives, but in the ways that we manage our practices. Read Article ›

On June 1, 2008, the United States Pharmacopeia (USP) General Chapter 797 Pharmaceutical Compounding – Sterile Compounding (USP <797>) was made official. Read Article ›

Claim denials can have a significant negative impact on a medical practice, and the management of these denials remains an essential component of any solid revenue cycle plan. It is impor­tant to point out that this involves more than just resubmittals and appeals; practices should aim to prevent as many denials as possible from the start and then efficiently manage the ones that could not be prevented. In this article, I will discuss how grouping denial codes can provide valuable data that can be used to adopt a prevention-focused claim denials management process. Read Article ›

The No Surprises Act, which went into effect on January 1, 2022, provides balance billing protections for patients while simultaneously creating new ways for them to understand their financial responsibilities. Read Article ›

As healthcare leaders, we are in a constant state of change. Read Article ›

As 2021 comes to an end, it is vital that practice managers are well-equipped with the skills and knowledge they need as they move forward into 2022. Read Article ›

Cancer remains one of the costliest diseases to treat in the United States. According to a 2020 report published by the American Cancer Society Cancer Action Network, the out-of-pocket costs patients faced in 2018 totaled $5.6 billion. Furthermore, evidence shows that the total amount attributed to direct cancer-1 related healthcare spending in 2015 was $183 billion, a number that is estimated to increase to approximately $246 billion by 2030. Read Article ›

Clinical documentation refers to the recording of pertinent facts, findings, and observations related to an individual’s health history, including past and present illnesses, examinations, tests, treatments, and outcomes. It plays a critical role in helping physicians and other medical professionals plan treatments, monitor a patient’s health status over time, and ensure continuity of care. It also facilitates accurate and timely claims review and payment, appropriate utilization review and quality-of-care evaluations, and collection of data that may be useful in research and education. As discussed in this article, quality documentation is essential for ensuring the well-being of your patients as well as your practice. Read Article ›

The majority of leadership opportunities currently available in the medical practice community require individuals to be responsible for the operations of previously established businesses and teams. As a result, new and seasoned leaders alike are often finding themselves facing unique challenges as they navigate the nuances of assuming leadership of existing practices. This transition can be equally challenging for the staff members. In this article, we offer some strategies you can use to facilitate the process. Read Article ›