Are you being aggressive with your AR?

Running a successful medical practice involves solving many puzzles; one of the hardest is how to successfully deal with patients who don’t pay their bills.   Many medical practices turn to collection agencies for help. Although, too many health care providers insist the percentage agencies don’t live up to their expectations: 

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Benefits of Out of Network status

For many medical providers the age old question is, "should our practice be in or out of network?" The answer depends on your location and specialty. By this we find general primary care providers in large metro areas choose to be in network because limited payers, such as BCBS, Medicare and Medicaid and in competition for the same patients. Where patients are less restricted many medical practices find being out of network has advantages such as higher reimbursements for the same in network contracts. Probably the two highest drawbacks are the following:

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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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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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