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Medical Billing News and Articles

Evaluating Your Revenue Cycle

Evaluating Your Revenue Cycle

Does Your Revenue Cycle Need Maintenance? Many physicians are experiencing a conundrum. They are working longer hours but not making more money. It is a fact that medical practice expenses are on the rise, and insurance payments are shrinking while compliance parameters are increasing. Add to those the problems of inefficiency and the challenges of new technology and it is no wonder doctors feel over worked and under paid. But

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news thumb phe renewed for another 90 days

PHE renewed for another 90 days!

Hot off the presses: PHE Renewed For Another 90 Days! Health and Human Services Secretary Xavier Becerra, announced that he has renewed the COVID-19 Public Health Emergency declaration. This renewal is effective October 18, 2021 and will extend current Public Health Emergency flexibility another 90 days from that date, to January 16, 2022. This means that the current rules and guidelines regarding reporting virtual visits, telephone management and other telehealth

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A doctor is writing on a clipboard with a pen while someone sits in front of her

How Do I Write an Appeal in Medical Billing?

To ensure that your medical practice is successful, you need to understand that you have the right to a full and fair appeal review and you need to hold payers accountable for decisions that impact patient care – and your revenue. However, writing a medical insurance appeal in order to dispute a rejected claim can be quite challenging, especially when considering new payer medical necessity and coding guidelines. Simply writing

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How To Improve Doctor-Patient Relationships

Patients today expect more from their physician experience than ever before. Communication and transparency are of utmost importance to many patients, but the more fundamental aspects of the relationship should not be ignored. Patients visit physicians in varying states of vulnerability. They are looking for someone to trust, especially when sharing personal details about their health, family and history. For physicians this means balancing the ever increasing demands of their

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Promoting Patient Wellness Over Excessive Health Services

One of the biggest issues facing the health industry today is the fact that the industry is continuing to rely on developing health services that are too complex instead of involving the patients. To most patients, improving healthcare doesn’t equal more services, it equals better health. The director of the Center for Health Incentives and Behavioral Economics at the University of Pennsylvania and the Perelman School of Medicine recently stated

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How To Reduce Medical Claim Denials

Consistent cash flow is essential to the health of any business. This holds true for medical practices, as well. Maintaining an adequate level of revenue while minimizing the number of claim denials can be a struggle. Unfortunately, claim disputes have a number of associated costs beyond the denied payment. Estimates show that the average medical practice could loose between $30,000 and $80,000 yearly in denied claims and the staffing expense

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A man's hand is stopping a row of wooden blocks from falling

A Guide To Cash Flow in Medical Practices

The healthcare insurance industry is in somewhat of a flux at the moment, which can cause problems for any practices that aren’t paying careful attention to what’s going on. For example, patients are being held more responsible for health insurance costs than insurance payers, which is evidenced by the rising co-payments and deductibles. This can be a problem for medical practices due to the fact that patients tend to pay

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Maximizing Collections and Improving Billing Performance

Maximizing Collections and Improving Billing Performance

When it comes to the differences between struggling medical practices and successful medical practices, it often comes down to billing and collections efficiency and not the actual quality of the medical services. Maximizing your collections and improving billing performance will help to bring in more revenue, but it’s something that a lot of medical practices have trouble actually doing. 1. Demand co-pays up front – Make it known to your

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Key Performance Indicators for Medical Billing

Key Performance Indicators for Medical Billing

To have a financially healthy medical practice you need to keep an eye on a number of indicators and compare those to industry standards. Billing benchmarks are a great way to compare your practice’s financial performance with the standards for the industry. What follows are some best practices and practical tips that can help keep your practice performing in league with the best. First, take some time to evaluate where

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Cost of Outsourcing Medical Billing- How Your Practice Saves Money

Cost of Outsourcing Medical Billing: How Your Practice Saves Money

If you run a medical practice of some kind, then outsourcing your medical billing and collections services might be something that you will want to look into. There are many benefits to outsourcing your medical billing and collections services, one of the most convincing being the ability to make more money. The following are three steps that you should take in order to determine how much money you can actually

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