Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends hospitals and other providers ask payors these two questions during negotiations within managed care contracts regarding claims payment and covered services.

Here are five best practices for managing claims at orthopedic and spine groups.

Cristina Bentin, CCS-P, CPC-H, CMA, president of Coding Compliance Management, discusses several commonly miscoded orthopedic procedures.

Here are five tips for maximizing contracts for orthopedic procedures.

The feud between spine surgeons who were involved in the research and development of Medtronic's Infuse and the surgeons who feel the product was inappropriately marketed continues to escalate, according to two letters set for publication in the July 12 issue of The Spine Journal.

Here are five ways you can build a stronger coding process.

Here are five ways orthopedic surgery centers can optimize profitability.

Editor's note: This article first appeared in the RACMonitor.

Many physicians and other healthcare practitioners need to go "in-network" with managed care organizations because these network agreements drive patients into their office. These practitioners typically enter into managed care participation provider agreements with the health insurers for the privilege of becoming an "in-network" provider. The benefits of being in-network include the following:

Smith & Nephew's patent infringement case against Arthrex is being heard this month in Oregon, according to a Smith & Nephew news release.

The Centers for Medicare & Medicaid Services has once again asked contractors to hold claims for services under the physician fee schedule for the first 10 business days in June, while Congress struggles to delay a proposed 21.3 percent fee cut, according to a report in AHA News Now.