Medical Billing News

Tips on Making Prior Authorizations a Smaller Part of Your Day


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


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.

Still, cash-pay acceptance can create a unique set of issues for practices to deal with. And that’s true whether the need is motivated by an “actual cash” problem (that is, a need to accept full payment from patients who do not have health insurance) or an “effective cash” problem (in which insurance doesn’t cover desired services, or deductibles have yet to be met).

A few best practices can help providers handle both kinds of cash-pay concerns with confidence.

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


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.

When it comes to practice management and medical billing technology, providers have a tendency to settle for systems that are “good enough” to get the job done. But doctors and their teams deserve better… and when they use better tools, they see better results.

Relying on modern, integrated solutions (as opposed to outdated, hardware-bound systems) can minimize unnecessary denials and rejections, because the best tools streamline complex onboarding processes and provide guardrails to help you submit clean claims.

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Negotiating with Payers for Better Reimbursements: 3 Tips


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’


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


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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Should You Hire a MIPS Expert at Your Practice?


The doctors and nurses in your office are experts at what they were formally trained to do: diagnose and treat patients in their specialty. Your top coders, administrators, and billers have all earned expertise in their fields, too (whether through professional education on on-the-job know-how).

When it comes to incentive program participation, however, almost no one is a true expert… which is perhaps why everyone – doctors, billers, and front desk alike – tends to think they are.

For many practices, adherence to government programs – such as MIPS, MACRA, or Meaningful Use – is an all-hands-on-deck exercise across the office, with dozens of people handing off reporting responsibilities to one another. Often, the efforts are excessively inefficient.

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Staffing to Meet Demand: Is It Possible for Your Practice?


As technology delves deeper into every area of your practice operations, you may find yourself with extra resources on your hands.

Check-in kiosks in the waiting room might be freeing up staff time at the front desk, for example. Automated eligibility checks or claim-scrubbing software might be doing the same in billing. And if yours is one of the many practices embracing telemedicine (or having nurses and PAs handle check-ups and other routine visits), even your doctors might be enjoying more downtime than they used to.

It’s a welcome shift to see medical professionals get some breathing room in their schedules. For decades, healthcare’s high-touch nature has demanded ever more staff in the office setting – or worse, expensive overtime pay.

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3 Tips for Improving Your Patient Education Resources


For the modern medical practice, quality content can contribute to patient acquisition, retention, and treatment adherence. Providing useful resources to patients also creates an extra touchpoint between them and your practice – helping make the relationship more meaningful.

But if your educational materials are stale and out-of-date, they provide little value to you or your patients.

If you’re still relying on that dusty rack of brochures in the waiting room, it’s well past time to improve your approach. Here’s our advice on a making your materials better.

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Best Practices for Analyzing Payer Reimbursements


Do you dedicate resources to analyzing payment accuracy? Lots of practices don’t – and are putting too much faith in payers to reimburse in full on every claim they complete.

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