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Patrick Dougherty

Patrick Dougherty

Patrick Dougherty is the General Manager at M-Scribe. Patrick has worked in the RCM field for 20 years. He was the founder and CEO of his own billing company before joining M-Scribe three years ago as the GM and VP of Business Development. Patrick enjoys golf, traveling and spending time with his family in North Georgia.

Author's Posts

Five Tips for Choosing a Right Medical Billing Company

Patrick Dougherty

Are you working to enhance financial performance via improved medical billing process this year? If so, you don’t have to work on your goals alone. Outsourcing medical billing services and coding is a wise choice for many practices. But if you decide on this path, it’s essential to choose a company to find one of the highest quality. Pick the right company and it can increase your chances of achieving those bottom-line goals. 

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Topics: outsourcing medical billing services

6 Most Common Factors to Avoid Medical Claim Denials and Increase Revenue

Patrick Dougherty

It will probably come as no surprise, that medical claim denials are on the rise, for both physicians and hospitals. With this rise come serious and expensive challenges for healthcare organizations and providers alike, with lost revenue projected to run into the billions of dollars. Considering that many otherwise re-billable claims are allowed to languish unbilled and unpaid, denials need to be avoided at the onset and if they occur, dealt with immediately.

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Topics: medical claim denials

Success with bundled payments – Strategies for Medical Practice and Providers

Patrick Dougherty

“Bundling 101” explained

What is bundling? Simply put, bundling (also known variously as value-based, episode-based payment, evidence-based case rate and several other names) is reimbursement for health care services by hospitals or providers “on the basis of expected costs for clinically-defined episodes of care.” Bundling is thought of as a “middle-ground” between the longstanding practice of fee-for-service, where providers are paid for each individual service given, and capitation, which normally pays a lump sum per patient regardless of the number of services that patient receives. 

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Topics: bundled payments

Providers Need to Know E&M Code Documentation Changes

Patrick Dougherty

Physicians have been trying for years to persuade the CMS to revise evaluation and management (E&M) documentation requirements as being excessively burdensome, especially for those primary care providers treating very sick patients. CMS has finally listened, and with input from the AMA and more than 170 other patient and physician advocacy groups, developed a list of proposals some of which were welcomed as needed changes while some others were opposed by physicians and patient advocacy groups.

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Topics: E&M Code, E&M Code Documentation

Eight Healthcare “wins” to Know About for 2019

Patrick Dougherty

While there was much uncertainty amid efforts to reform some of the more troublesome regulations and reduce their impacts on patient and provider alike, some good news has finally emerged.  The AMA and their various partners among many states have worked to reach consensus among the various industry advocacy groups and organizations among a number of areas needing reform: drug prices, improved EHR usability, insurance abuse and other critical issues. Overall, over 85 victories were won in areas as diverse as reducing gun violence, securing a greater degree of regulatory relief and improving physician reimbursement, according to AMA President, Barbara L. McAneny, MD. 

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Topics: medical practice management, healthcare industry

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

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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