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Are You Spending Too Much on Medical Billing Services?

Patrick Dougherty

Whether you're outsourcing your billing or keeping it in house, there's always a nagging question whether you're spending too much on getting paid. While it's impossible to equivocally state what's best for every practice, there are some basic cost analyses you can compare to see how your practice's billing expenses compare and whether you're paying too much for your collections or worse yet, leaving too much uncollected revenue on the table. 

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Topics: Medical Billing

Are You Leaving Money on the Table at Your Medical Practice

Patrick Dougherty

If you've ever had a Medicare payer or internal compliance audit you're probably familiar with the term "over coded," or even "under documented." While these terms are not synonymous, they do indicate a deficiency in your coding and documentation processes that could pose problems in the future if they aren't addressed. Here's what you should know about discerning between and documenting two of the most commonly used care codes. 

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Topics: Medical Coding

Intensive Outpatient Program - IOP Billing Guidelines Explained

Patrick Dougherty

Intensive outpatient programs, or IOPs, are growing in popularity as a treatment alternative to hospitalization or other inpatient services for people who do not need detoxification. IOPs are typically offered for patients with substance abuse disorders who have either completed a detoxification period or who don't require one, or to individuals with certain types of eating disorders or depression, provided they are not in danger of self-harm. The advantages for the patient include the ability to maintain a presence at school or work, lower costs, and the ability to live at home. 

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Topics: IOP Billing

5 Ways to Improve Patient Engagement in a Medical Practice

Patrick Dougherty

Healthcare organizations and private medical practices face an enormous increase in regulations. At the same time, insurance deductibles steadily climb so that patient out-of-pocket payments continue to represent a larger percentage of the overall revenue cycle in each passing year. Practices and healthcare organizations that continue to succeed have refocused their mode of patient care. Today's healthcare consumer makes more conscious decisions regarding their own therapy and treatments. Enter patient engagement.

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Common Reasons Medical Claims Get Rejected.

Neeraj Jain

What's your claims denial rate? Some of the most recent benchmarking data for family practice groups suggests an average of 5 to 10%, while the AMA found that Medicare rejects roughly one in 20 claims. No matter where you fall in the denial rate spectrum, however, denied claims leave cash on the table that can impact your profit margin significantly if they aren't managed properly. 

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Topics: Medical Coding

About this blog

A place for physicians and other healthcare RCM stakeholders to share and discover information about everything related to medical billing and ways to increase revenue.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices. 

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In-House vs. Outsourced Medical Billing, M-Scribe  

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