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Are you having trouble with getting Hydration services paid?  Are you billing for each increment correctly?  Well, no worries, you are not a dummy you are just a part of a much larger group of folks who are very smart but don’t really know how to bill for Hydration service in their clinic.  So, I […]

It all starts at the beginning! When 20% of the services of a typical medical practice are considered self-pay and should be collected at the time of service, why do you have so much debt? It just doesn’t make sense… It’s often difficult for your front desk team members to know how much to collect.

Are you experiencing payor recoupments or refund demands? Did you know that the Department of Insurance for your state actually has guidelines on how far back a payor can go to recoup a payment that they paid in error? Some payors call these “Adverse Benefit Determinations (ABD).”  The good news is that you have some

You’ve seen it before. A payment comes in. Your staff automatically posts the payment and the corresponding contractual allowance. Without a detailed understanding of contracted rates, terms, and conditions, the staff member who posts the payment may or may not get it right. It’s never audited … but it works its way through the system.

This is it! We’re going to learn the final piece of the puzzle to fix the poor financial performance of your practice. Last time, we discussed the billing and collections process, but this week we’re going to talk about managing receivables. Managing Receivables The next area for improving the revenue cycle is accounts receivable management.

Last week, we learned how our reimbursement systems affect our practice’s financial performance. This week, we’re going to take a long, hard look at our billing and collections process. Billing and Collections A second key area of importance involves the processes used for billing and collections. Physicians/owners should think of this area as being akin

Last week, we discussed how you can spot weakness in your revenue cycle management. This week, we’re going to evaluate our reimbursement systems and see how they can be hurting the financial performance of your practice. Reimbursement Systems As you saw last week, three of the five areas listed in the previous blog focus on

If you have poor financial performance, then it could be due to your inattentive practices concerning your organization’s revenue cycle management process.  Coding, EMR and PM software systems flaws, reimbursement methodologies, billing and collection processes, all have an adverse effect on your organization’s overall accounts receivable health. Since many urgent care center physicians/owners are not