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Medical Billing Blog Posts

3 Tips for Handling Medical Billing Patient Phone Calls

Patrick Dougherty

Medical billing company or in-house medical billers must have deep knowledge of several areas, including insurer requirements, the rules for Medicare, Medicaid and all the billing codes. They also need to comply with complex state and federal regulations such as HIPAA and Stark laws. However, the most challenging part of a medical biller's duties is often explaining a patient's billing statement.

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Topics: Medical Billing, patient collections

High deductible plans’ impact on your patients and practice

Harold Gibson

Until recently, health care insurance deductibles with many plans were considerably lower than they are now. Accelerated partly by the Affordable Care Act, employers have enthusiastically implemented high deductible plans to lower the increased costs of mandated new employee coverage, with 29 percent of covered employees enrolled in HDHP plans in 2016. 

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Topics: Medical Billing

How to Perform Paperless Medical Billing in Office

Harold Gibson

 The high cost of healthcare in the United States is at least partially due to its reliance on paper products. Some sources estimate that the healthcare industry spends as much as $300 billion per year on paper, providing a strong incentive for eliminating this expense. A paperless medical billing process provides other benefits such as greater patient satisfaction, higher retention rates and increased payment rates, especially for online payments. It also reduces collection costs, which traditionally requires a particularly large amount of paper.

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Topics: Medical Billing

Best Practices for Automating Prior Authorization Process

Patrick Dougherty

Obtaining prior authorization for services can place a significant burden on practice staff, but this critical step in the healthcare reimbursement process causes substantial challenges if skipped. If prior authorization is not performed, clinicians may find that they have performed unnecessary or duplicative services. These prior authorization and insurance verification best practices allow you to minimize these time-intensive processes while still insuring a high quality of care for your patients and a high payment rate from payers. 

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Topics: Medical Billing

Boost Practice Efficiency with Automatic Directory Verification

Patrick Dougherty

It can be challenging to determine exactly how much of your medical practice's time is eroded by meaningless clerical tasks that could potentially be automated. Even a thorough review of daily activities may only turn up a few issues that could be addressed, while something that causes an ongoing waste of time such as keeping payer directories up to date can cost you thousands of dollars a year in lost productivity. This type of task can easily be missed in an audit because payers only require an update approximately every 90 days, and since office staff may not be performing the function on a daily basis it may fall off the radar for optimization. Fortunately, there are ways to maintain an updated presence with your payers -- ensuring that you're paid in a timely manner -- while not killing office productivity with mindless updates. 

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Topics: Medical Billing

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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