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Medical Billing Process Blog Posts

5 Tips for Improving Patient Collections in a Medical Practice

Patrick Dougherty

The medical expenses billed directly to patients continue to rise, primarily due to the increase in co-pays and deductibles. The balance charged to patients currently accounts for about 30 percent of a medical practice’s income, making patient collections increasingly vital to a practice’s financial well-being. Billing services must therefore implement best practices in collections while complying with payer requirements, which can vary greatly. The following five tips will help billing services improve patient collections:

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Topics: medical billing process

Payer Issues Result Revenue leaks in Medical Practice - Part 2

Harold Gibson

In the previous blog, we discussed how information gaps and missteps in the front and back offices may contribute to loss of revenues. This week’s blog is devoted to taking a closer look at what are probably the biggest headaches for many providers: the payers. Between variances in contractual agreements as well as changes in covered charges, tracking multiple payer obligations is at best challenging and at worst, frustrating and expensive. Here are a few suggestions to improve your payer relationships and reimbursement rates.

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Topics: medical billing process

Efficient Claim Processing to Improve Medical Billing Process

Patrick Dougherty

The passage of the Health Information Portability and Accountability Act (HIPAA) in 1996 standardized electronic claims for the healthcare industry. This submission method has been widely adopted and was used by more than 92 percent of healthcare providers in the United States in 2013. This trend clearly shows the great majority of providers recognize the superior accuracy, efficiency and speed of electronic submissions over manual methods. However, obtaining the maximum benefits from electronic claims requires providers to follow a number of best practices in the preparation, submission and follow-up phases of this process.

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Topics: medical billing process

Identifying Revenue Leaks in Medical Practice – Part 1

Harold Gibson

As the first installment of a three-part series uncovering revenue leaks in medical practice, this blog will focus on front desk and medical billing processes and procedures with suggestions for improving performance. 

Missing payments from any number of sources can reduce a practice’s revenue to the tune of thousands of dollars annually. While busy practitioners and their staffs may think that there isn’t the time or personnel to monitor, let alone fix, the problem areas before financial damage is done, nothing could be further from the truth. Here are a few examples of what omissions or carelessness can cost and how to fix them.

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Topics: medical billing process

Improve Medical Billing Process by Reducing Insurance Denials

Patrick Dougherty

Insurance Denials.jpeg

Insurers can deny payment for many reasons, especially denials resulting from the payer’s claims process and rejections from the payer’s pre-adjudication clearinghouse rejections. These causes are easy to determine in some cases, but others require a deep understanding of the insurer’s payment policies. Healthcare providers who are seeking to improve their workflow in 2018 should implement medical billing process that identifies denials and provide the evidence needed to get them reversed. These processes are essential for obtaining payments in the short term and promoting the practice’s long-term financial success.

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Topics: medical billing process

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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