Prevention

4 Strategies for “Medical Necessity” Denial Prevention

  Denials are inevitable, but the key to those pesky denials piling up and costing practices valuable time and money is prevention. Now let’s get something out in the open right away, there will never be a time when denials will stop occurring; however, getting a low percentage of denials is attainable. Fact: 20% of[…]

Claim Denied

Implementing Denial Prevention

Fact: Every medical organization has experienced those pesky claim denials. Medical claim denials are a hassle and can often lead to financial difficulties. The good news is, many medical denials can be prevented and can be easily avoided. Approximately 90% of denials within any healthcare organization are preventable. The bad news is, there will always[…]

Medical Billing and Collections
medical-management

Top 3 Effective Solutions to Diminish Healthcare Accounts Receivables

Top 3 Effective Solutions to Diminish Healthcare Accounts Receivables There are three top effective solutions for diminishing healthcare accounts receivables. On any given day, medical practices are inundated with administrative responsibilities such as scheduling, patient registrations, patient eligibility and coverage verification, pre-certification, patient payments, coding, billing, denial management, and not to mention office staff issues.[…]

Analytics concept

Top 3 Benefits of In-House Vs. Outsourcing Medical Billing: A Practice Manager’s View

Top 3 Benefits of In-House vs. Outsourcing Medical Billing: A Practice Manager’s View Having 30 years of experience as a Medical Practice Administrator dedicated to managing medical practices which did billing in-house, I would like to share the benefits of outsourcing versus in-house medical billing. Today I am devoted to developing efficient and cost-effective revenue[…]

Medical and health insurance claim form with stethoscope on clipboard
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Pros Cons MACRA small practices
Medical Claims Appeals

MACRA: The Medicare Access and CHIP Re-authorization Act of 2015

MACRA: Medicare Access and CHIP Re-authorization Act Understanding The Quality Payment Program & Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) MACRA: The Medicare Access and CHIP Re-authorization Act of 2015 is the new CMS (Centers for Medicare & Medicaid Services) program that consolidates together the Physician Quality Reporting System (PQRS), Value-based Modifier (VBM),[…]

anesthiology two

Solutions for the Ambulatory Anesthesia Value-Based World

Article 2 in a series: Ambulatory anesthesia providers resolve value-based payment issues. The first article in the series, The Ambulatory Anesthesia Value-Based World, addressed the problems associated with achieving effective results in the world of value-based payment models and ambulatory anesthesia.  This report features what practitioners are doing to resolve the issues and achieve desired[…]