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TIME: 2HRS
Revenue & Reimbursement: Insurance
Working With Insurance, Medicare, Medicaid, and Self-pay

Keeping your practice profitable has become more challenging, but by learning how physicians get paid, and deciding which mode is best for you, you can improve your chances of success.

This course covers:

  • How physicians get paid through Medicare, Medicaid, commercial (private) insurance, and self-pay arrangements
  • How best to evaluate what plans the practice should participate in
  • Best practices and lessons for collecting effectively from third-party payers and patients
  • Programs that enable physicians to improve payments, and the important principles behind accountable care operations and episode-based payment initiatives
  • Quality Reporting System penalties and e-prescribing penalties from Medicare
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5 CHAPTERS
How Physicians Get Paid
How physicians get paid through Medicare, Medicaid, commercial (private) insurance, and self-pay arrangements.
START
Ways to Increase Fee Income
Several current programs provide the ability to improve payments to primary care, by rewarding efficiency and overall cost effectiveness.
START
Deciding Which Plans to Participate In
Evaluate which plans your practice should participate in as an in-network physician and which plans should be considered out-of-network.
START
Collecting Effectively From Third-Party Payers and Patients
Best practices and lessons for collecting effectively from third-party payers and patients
START
Considering an All-Cash Practice or a Concierge Practice
As collecting money from payers gets increasingly difficult, many physicians are considering changing to an all-cash practice.
START
test your knowledge
Complete a self-assessment to earn a Medscape Academy Certificate or continue to Medscape Education to earn both a Medscape certificate and CME credit.
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+ 0.25 CME
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+ CME Credit
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ACADEMY CERTIFICATE EARNED
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Related activity on Medscape Education:
CME Activity - 0.25 Credits
This content will become available after you have completed the prior chapters.
AUTHORS
Judith N. Aburmishan, MBA, CPA, CHBC
Healthcare Practice Management Consultant, Chicago, Illinois
ABOUT
PHYSICIAN BUSINESS ACADEMY

Medscape Physician Business Academy is designed to help all physicians, employed and self-employed as well as new and more established practicing physicians, become successful in their medical practice and career by providing the essential business information that most medical schools and residency programs don't teach.

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COURSE BENEFITS

BY COMPLETING 8 COURSES YOU WILL RECEIVE A CERTIFICATE OF COMPLETION. AFTER COMPLETING EACH COURSE, YOU’LL RECEIVE A LETTER OF COMPLETION.

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PHYSICIAN BUSINESS ACADEMY CERTIFICATE
Medscape Physicians Business Academy course content is provided for educational and information purposes only. If you have particular questions or concerns relating to your practice you should consult the appropriate legal, financial or other expert.