Medical Billing News

What Type of Medical Billing Firm Do You Need?

10/23/2018

When they’ve never used a medical billing firm before, doctors and practice managers can be hesitant to outsource revenue cycle management. Often, it’s an issue of perception.

When billing operations are managed entirely in-house, leaders tend to believe that the practice has stronger “control” over its cash flow (even if their poor metrics prove otherwise). By outsourcing, the thinking goes, aren’t they just handing the reins over to someone else?

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5 Best Practices for Boosting Clean Claim Ratios

10/16/2018

Your practice’s ‘clean claim’ ratio is the average number of claims paid on first submission. How’s yours?

Every provider would love to reach a percentage above 95%, but it’s not really the number that matters. Practice budgets are tight, and your staff’s time is the most precious resource you have. 

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How Can Private Patient Advocates Help Providers' Performance?

10/09/2018

It was 2007 when US News first called private patient advocacy an “ahead-of-the-curve” career path serving a “huge unmet need.” More than a decade later, the role private patient advocates play in the US healthcare system is still growing – and the unmet need remains.

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Using Tech to Improve Patient Access & Practice Efficiency

10/02/2018

When it comes to technology, healthcare providers may feel they have their hands full meeting the requirements of incentive programs. Beyond ensuring their solutions are able to report on MIPS and MACRA and meet Meaningful Use expectations, what else is there?

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Tips on Making Prior Authorizations a Smaller Part of Your Day

09/25/2018

Prior authorizations are one of the most time-consuming, onerous aspects of the fee-for-service healthcare system. Just as doctors: AMA research shows that 84% of physicians consider the burden of prior authorizations as high or extremely high.

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How to Keep Cash Payments From Tripping Up Your Practice

09/18/2018

Accepting cash payments is one way practices can broaden their revenue beyond traditional fee-for-service. For our readers in integrative health fields – such as acupuncture, massage therapy or chiropractic practice – accepting cash payments is typically a necessity (like it or not) given the challenges of insurer plans.

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Pursuing the Right Software Set-Up to Get Your Practice Paid Quickly

09/11/2018

Reaching the outcomes you want, in all walks of life, requires using the right tools. But in the medical practice environment, it can be hard to know if your solutions are hindering your success.

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Negotiating with Payers for Better Reimbursements: 3 Tips

09/04/2018

Small practices often feel like they have no leverage with payers. But while it’s true that large practices have a lot more power at the negotiating table, independent providers should always make sure their reimbursements are paid fairly – at rates that respect the quality of care delivered.

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Considering Outsourcing Medical Billing? It Isn’t Always ‘All or Nothing’

08/28/2018

Medical practice professionals are resistant to the word “outsourcing.” It brings to mind ideas of offshoring and offloading – packing up your processes and shipping them off to an invisible third party (and its thousands of employees) entirely separate from the in-house team.

But it doesn’t have to be like that. And in medical billing, it tends not to be.

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Following Up on Unpaid Balances: New Tactics to Help You Collect

08/21/2018

Non-paying patients are an unfortunate practice reality. And when money goes undeceived at the encounter, the odds of collecting only go down from there.

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