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Medical Billing News and Articles

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How to Start a New Medical Practice – ProMD

Starting a New Medical Practice The complexities of setting up and running a medical practice may seem overwhelming. Understandably, most physicians do not have extensive experience running a business, but the prospect of working for oneself is still enticing. For this and other reasons, it is highly advisable to consider obtaining the services of a medical practice consulting firm to get your new practice off the ground. This article will

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Medical Practice Benchmarking to Grow Your Business

Medical Practice Benchmarking To Grow Your Revenue Cycle

Most physician’s offices are started because a doctor or group of doctors want to do what they know and love: treat patients. Good medical practice management is not just about providing excellent care, however. Sound business practices are required for efficiency and success. Put those practices in place and there will be more time and energy to focus on providing excellent service. Doing that requires a way to measure operational

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Medical Records are Big Business for Cyber Criminals

Safeguarding Medical Records from Cyber Criminals

We are all familiar with the Health Insurance Portability and Accountability Act (HIPAA) and the safeguards it requires to insure the privacy of health records. At the same time there is a strong demand from all involved, doctors, insurance companies and patients themselves, for easy access to those records. It is also important to consider that health records do include a wealth of information that can be monetized by criminals.

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Use Proven Business Practices to Make Your Practice Thrive

Implement Best Business Practices in Your Medical Practice

Most physicians who open their own private practice do it out of a desire to provide service to their patients and to build on their relations with those patients. In short, to practice medicine. More often than not, the running of a business is secondary, or worse, an afterthought. Medicine is not the only industry where this disconnect occurs. Let’s face it, we don’t all want to be business people,

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Service Bundling May Replace Fee-for-Service

Bundled Payments vs. Fee-for-Service in Medical Insurance Billing

The medical insurance billing debate continues and many believe that the traditional mode of fee-for-service reimbursement, where individual services are billed and paid separately, may be on its way out. On the other end of the spectrum, capitation, where a lump sum is paid per patient, regardless of what services are performed, never gained real support. The middle ground may be bundled services. With this model, providers bill a single

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You May Not Know Your Medical Practice Is Losing Money

Uncover Hidden Revenue Losses Within Your Medical Practice Medical Practice Operations and Your Bottom Line In these times when medical practices are seeing decreased and declining revenues, it is essential to review your practices operations and ensure that you have what we like to call “best practices” in place. A successful medical practice requires many important moving parts, but at times some become less essential, or even a hindrance. It

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Tips to Avoid Bottlenecks and Manage Your Patient Flow

Patient Flow Management: Tips To Avoid Bottlenecks

Running an efficient medical practice is very important to your ability to treat all of your patients in a timely fashion. Unfortunately, bottlenecks can occur during any day that can put you massively behind schedule. When this happens, you can end up dealing with a lot of annoyed patients who are waiting around well past their appointment times while your staff struggles to keep up with their work – and

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Submitting Incident to Billing Claims

How to Bill Incident to Claims in Medical Billing

To many physicians and medical practice staff members incident to billing can be a somewhat confusing concept. When billed “incident to” for services provided by a non-physician practitioner (NPP), like a nurse practitioners, physician assistants or clinical nurse specialists, the Medicare claim is submitted under the physician’s National Provider Identifier (NPI) number, and not the NNP’s. This results in reimbursement at 100 percent of the fee schedule instead of the

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Causes of High Accounts Receivables in Medical Billing

High Accounts Receivables in Medical Billing Having accounts receivables that are too high is generally not a good thing. It means that your practice may be too lax in collecting the money that’s owed to you. It can also end up hurting your business, especially if you begin to have difficulties finding the money to pay your practice’s bills. The following are four of the most common mistakes that medical

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New Workflows for Medical Billing and Collections

As medical premiums have increased, employers are have to select policies that have greater patient responsibility in efforts to keep premiums down. In light of the mentioned, Patient Collections is now more important than ever, since is not just small co-pay, but instead patients now have higher copays, co-insurance (% of bill to be paid by patient) and high deductibles which have changed front office workflows in order to maximize

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