Successfully Navigate ABA Insurance Laws

Applied Behavior Analysis (ABA), is recognized as the most effective therapy for autism-related deficits, leading to reform of autism insurance laws across the country. This was a victory for families affected by autism, and practitioners like you who specialize in ASD diagnosis and treatment.  It is the only evidence-based treatment method recognized by most major […]

Preparing Your Practice for New Medicare Beneficiary IDs

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) goes into full effect in April 2019, so now is a good time to start preparing for it. Since Social Security Numbers (SSN) will no longer be a means of identifying patients, updating your physician practice management systems and processes will be imperative to keep […]

7 Ways to Make Your Practice More Patient Collection-Savvy

Obviously, collecting payments is crucial to the profitability and cash flow of your medical practice. However, due to the trend these days toward more high-deductible plans and higher co-pays, many patients are finding it difficult to pay their bills. This means your billing staff – whether you hire in-house or outsource to a professional medical […]

7 Ways to Handle Your Practice’s Denial Management

Medical claims are a major part of the profitability of your practice. It can also be a major source of revenue loss when claims are denied. Denials negatively impact operational cash flow, revenue, and efficiency. According to the American Academy of Family Physicians (AAFP), denials for physician practices are between 5 and 10 percent. To […]

How to Properly Handle Medical Billing Patient Phone Calls

Medical billers must have a comprehensive knowledge of various aspects of physician practice management. They must know billing and coding as well as explain the costs of medical treatment to a patient in person. They must also know Medicare/Medicaid regulations, HIPAA, and other complex state/federal guidelines, insurance requirements, and more. None of that compares, however, […]

How an Effective Revenue Cycle Management Benefits Your Practice

Medical billing and coding are complicated. For many medical practices, they are often overwhelming when combined with all the other responsibilities your staff has. If this process is plaguing your practice, a structured revenue cycle management (RCM) system may need to be implemented to help your practice operate more smoothly and optimize cash flow. The […]

The Basics of the ICD-10 Structure

With changes to the ICD-10 code scheduled to go into effect on October 1, 2015, it is important to understand the ICD-10 code sets that are scheduled to replace it. ICD-10 is divided into two general categories for the purposes of reporting medical diagnoses and inpatient procedures. ICD-10-CM covers coding for diagnostics across all healthcare […]

Does Your Medical Practice Have Workflow Issues?

Simply put, a workflow is the pattern and amount of work that comes in and goes out from your office and staff. The key to a good flow is to eliminate those tiny sources of inefficiency, such as inconsistent medical billing or collections, before they begin to inconvenience patients, disrupt your practice, and hinder profitability. […]

5 Medical Billing Mistakes We Can Help You Avoid

When you think of good medical practice management, you likely think of all the things you can do to keep your bottom line strong, such as going paperless or being more efficient. Of course, steps such as those are crucial, but it’s easy to overlook another aspect of good practice management that’s just as essential: […]

5 Easy Steps to Going Paperless

You don’t have to be told how time-consuming it can be to track down medical billing records when they’re in paper form. Yet, you still haven’t made the move to paperless for one reason or another. Well, here’s a reason that may make you rethink this: not going paperless is costing you money. If your […]

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