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We all know how important it is to aim for 100% reimbursement to be successful, which is why collecting from patients up front is an even bigger priority. Now, take it a step further. Do you know how to effectively and efficiently secure those payment methods for future use? How…
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Doctors in private practice must include Social Media in their overall marketing strategy. This is practically non-negotiable for physicians who provide elective procedures. But social media isn’t all selfies and cat videos. One wrong move, and a HIPAA violation could cost you the practice you took years to build. The usefulness of…
Every year 14 November is marked as the World Diabetes Day. As we prepare to celebrate World Diabetes Day in November, ask what you can do to raise awareness, to get diabetics supplies and other related consumables to patients who find their lifeline cut off or disrupted as refuges and displaced…
CMS proposed a number of payment policies to durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) from July 2014 till date. Here’s the historical payment rules of each year. CMS Proposed Polices and Payments rates for End-Stage Renal Disease providers for CY 2015 On July 2, 2014, the Centers for…
Many organizations who have taken on credentialing responsibilities find it challenging to master the process on a macro level. Ever-changing laws and standards impacting credentialing can be difficult to stay abreast of and/or implement. One of the biggest challenges, which also has a direct impact on the revenue collection of…
Improving payer contract management by analyzing terms and assessing payer performance can maximize revenue for healthcare providers. Payer contracts contain fee schedules and reimbursement requirements, as well as the conditions payers must meet for timely reimbursement. Ensuring correct reimbursement in a timely manner is always at the top of a…
The Centers for Medicare and Medicaid Services (CMS) has proposed a rule that would affect the 2018 reporting year and beyond. The proposal offers a number of ways to help physicians avoid penalties. CMS has posted a fact sheet about its proposal. The Centers for Medicare and Medicaid Services (CMS) says over…
Revenue cycle management is the process that manages claims processing, payment and revenue generation, and often entails the use of technology to keep track of the claims process at every check point. Effective revenue cycle management will maximize the return on investment of a hospital. If you don’t have a good system in place, it can be challenging…
