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Introduction Your practice’s revenue cycle management is the process of collecting, tracking, and reporting on your payments from patients and payers. If you’re not collecting 100 percent of your revenue, it’s not only costing you money—it’s also hurting your reputation with patients who may decide to go elsewhere when they…
Introduction We’ve talked before about what revenue cycle management is and why it’s important, but you may still be wondering what a successful revenue cycle looks like. What are the components that make up a revenue cycle and how do they come together to produce success? Let’s take a look…
DENIED CLAIM The refusal of an insurance company or carrier to honor a request by an individual or his or her provider to pay for health care services obtained from a healthcare professional is referred to as claim denial. Many practices do not bother to file an appeal when their…
What is Charge Entry in Medical Billing? Charge Entry process is a critical step in the Medical Billing Cycle; it is critical that this scope of services is handled by experts who are up to date on the payor fee schedule for the service rendered. For increased reimbursement, the charge…
A Clean Claim Law has been enacted in each state. The level of value these laws provide to medical offices and institutions ranges from states like South Dakota, which offer little more than a slap on the wrist to states like Texas, which impose significant financial penalties on late payers.…
Chiropractic Billing & office management can be complicated. Especially when you factor in the ever-changing requirements and regulations having to do with health insurance and government programs. A streamlined and efficient financial process is crucial for any successful practice, and is a key to a healthy revenue cycle. Take a…
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…
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…
It’s very essential to be a provider with government and commercial insurance companies. Your practice needs steady patient referrals not to mention cash flow, but Are you mired down in the provider credentialing processes by making these common mistakes? Whether it’s a simple human error or an inefficient process, making…
