Benchmarking isn’t a tough concept to understand. It’s essentially taking a look at how your practice compares to others. Where do you get the data on your own practice? Where can you find benchmarking standards to measure against? Then what do you do with all that data to make a difference? Finding the answers to […]
When your reimbursement staff is working old accounts receivable while also trying to stay up-to-date with current billing and collection activity, they can quickly feel overwhelmed. While the high dollar claims always need to remain a priority, you also need to keep a watchful eye on aging claims to ensure that NOTHING is resolved past […]
As patients take on more out-of-pocket costs, and patient satisfaction continues to influence the financial health of hospitals, revenue cycle management has become increasingly important to organizations. Amid these and other changes, many revenue cycle professionals have offered thought-provoking insights. Here are 10 RCM tips from industry experts: 1. “To make sure that your organization […]
Most Clinicians Still Do Not Know About MACRA Major financial penalties loom for providers not following reporting requirements. We are more than halfway through the first year of the Medicare Access and CHIP Reauthorization Act (MACRA), and a majority of clinicians still do not understand the program. In fact, the Centers for Medicare & Medicaid […]
Correct coding is essential for the proper billing of your business to occur. When the wrong codes are put it, you can be missing out on hundreds of dollars per client every month. If you are struggling to do your own medical billing without the assistance of a professional biller, you may be in over […]
Now that you have health coverage, here is what you can do to put your health first and live a long and healthy life. 1. Confirm your coverage 2. Know where to go for answers 3. Find a provider 4. Make an appointment 5. Fill your prescriptions 1. Confirm your coverage: Be sure your enrollment […]
One of the most basic rights that a patient has is the right to privacy. Patients have the right to decide to whom, when, and what extent their private individually identifiable health information is disclosed. This information includes but is not limited to medical diagnosis, treatment plans, prescriptions, health insurance information, genetic information, clinical research […]
Revenue cycle management refers to the business side of your practice—from verifying patient insurance eligibility to submitting claims to receive health plan payments and billing patients for their share of service costs. Although patient care will always be your top passion and priority, an efficient revenue management system is critical for your practice’s financial health […]
Prior authorization steals time from physicians that would be better spent with patients and increases practice costs. The process can pose roadblocks to patient care, delaying much needed services or stalling the delivery of a patient’s treatment. These five tips can help you to relieve your prior authorization frustrations and better select a method that […]
2019 Payment Adjustment Information – How To Avoid Medicare Payment Penalties With Basic Reporting. The Medicare Quality Payment Program (QPP) is designed to potentially reward physicians for providing quality, high-value care to Medicare patients. This is the first year physicians will need to report on quality measures under the new Quality Payment Program (QPP) from […]