Compelling reasons to outsource your billing

It is in a billing company’s best interest to always stay on top of revenue leaks and maximize profits. A billing company is another set of eyes that recognizes operational failures that can cost a practice big money. The main objective of a billing service is to improve efficiency, reduce costs and increase reimbursements while leveraging state-of-the-art information systems. Management teams have a diverse background in practice management experience, coding expertise, operations management, information systems, insurance claim processing as well as state compliance and federal HIPAA guidelines.

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Expedite your Reimbursement

One of the most efficient ways to expedite timely reimbursement is to conduct proper verification and pre-certification of services. So often, surgery centers are short staffed and reluctant to spend time on the phone verifying coverage. The following steps will result in prompt payment along with clean claims to the insurance carriers.

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Five Steps to Taking Charge of Your Practice

There are many reasons physicians feel stressed with today’s current state of medicine. With external factors such as the regulatory environment, declining reimbursement, increased malpractice liability and an educated (and somewhat demanding) patient population, it’s no wonder physicians feel a lack of control over the future of their practice.

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Five Ways to Improve Patient Flow

  1. Monitor your work flow.

All specialties grow at a different pace. When planning your practice it helps to understand the volume of procedure along with your physician’s schedule. One way to assess your volume is a procedure analysis and your schedule. This will help determine if you are maximizing your income by specialty, if you have appointments out more than three months you may need to hire another physician or adjust your hours of operation.

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Locum Tenens Billing vs. Reciprocal Billing

Physicians are you aware of your options when you are required to miss work due to illness, pregnancy, continuing education, or even vacation?

If you wish to take a short leave or an extended absence there are options available to you.

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Medicare LCD

Medicare LCD

CMS established Local Coverage Determination (LCD) in section 522 of the Benefits Improvement and Protection Act of 2000 (BIPA 2000). In this policy change, all Local Medical Review Policies (LMRP) were converted to LCDs. The difference between LCDs and previously written LMRPs is that LCDs contain only reasonable and necessary conditions of coverage as allowed under section 1862(a)(1)(A) of the Act. Whereas LMRPs may have also contained other information such as coding and payment guidelines.

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Medicare LCD

Patient Balances on the Rise

Until recently, as a billing company, our focus has been geared towards optimizing payor payments. Historically, only 5% of the outstanding accounts receivable was attributed to patient-due balances. Today, we are seeing the number increase to as high as 25%. The growth of Consumer Directed Healthcare is on the rise and is expected to double next year. So, what can we do to prepare for this impact?

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The Importance of Physician Documentation

The Importance of Physician Documentation

The absence of complete and accurate physician documentation continues to pose a concern for clinics and surgery centers. Being in compliance and ensuring accurate reimbursement depends largely on the quality of code assignments that drive prospective diagnosis related group (DRG) and ambulatory payment classification (APC) billing and payments.

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