Medical Billing News

Coding Abuse: Avoiding Enforcement Actions With Common Sense Protections

11/06/2018

Submitting “clean” claims is something we emphasize here on the blog all the time – mostly in the context of ensuring forms and fields are filled out clearly for processing. But there’s another factor that makes a claim “clean,” too: its legality.

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Implementing a New Medical Practice Solution? 3 Keys to Success

10/30/2018

Has your organization decided to swap out your existing software stack for a smarter toolset? Congratulations – reaching consensus for a new solution is no easy feat (and often takes far longer than providers expect).

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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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