Practice Management News and Education

The Centers for Medicare and Medicaid Services (CMS) released its final rule that includes timelines for when the patient is entitled to receive a GFE. It can depend greatly upon the patient's insurance status, the provider's insurance network status, and the type of care and location of the service.

In today’s ever-changing healthcare environment, it’s important to have resources to keep you up to date on issues affecting patient care and practice revenue. CAP is here to support all members with vital updates.

A regularly scheduled practice evaluation can help you stay ahead of policies and procedures that support optimal workflow capabilities and a healthy bottom line, even when you think your business is running like a well-oiled machine. It may seem obvious, but clinical excellence aside, the care you provide for your patients may be impacted by the efficiency and effectiveness of your practice operations.

With value-based care, physicians are reimbursed based on quality rather than volume. The goal is to support patients at their highest possible level of wellness rather than wait to provide care until they get sick, which is often more complex and expensive

As physicians think about the holidays, they must consider their personal health and listen to their minds and bodies. The holidays are supposed to be a time of joy and celebration but for some doctors, it is anything but.

As today’s risks grow more threatening and prevalent, it is important for you to remember the value-added insurance coverages CAP provides as part of your membership, including your CyberRisk insurance, which covers $50,000 and 5,000 patient notifications per covered claim should you experience a data breach in your practice. 

Moving your practice can be a daunting task, but there are several scenarios when relocating may be a good idea. Lease negotiations gone awry, changing patient demographics in the area, health plan/hospital acquisitions of real estate, and expansion of the practice may have you contemplating a potential office relocation.

Did you know that water damage is the most common cause of property damage to businesses? As a business owner and physician, there are a variety of risks in your practice you must worry about every day. Water damage shouldn’t be one of them.

CAP’s My Practice program has received several calls from CAP members about COVID vaccine reimbursement and denials, as there has been much confusion on how to bill. As if the pandemic hasn’t been stressful enough due to income loss and other challenges, billing has become even more difficult to navigate.

Since 2009, when health plans had to comply with the law, patients and/or healthcare professionals can request that a qualified medical interpreter be available either in-person or through a telephone or video conferencing system.