Top 10 Medicare Risk Adjustment Coding Errors
By Carol Olson, CPC, CPC-H, CPC-I, CEMC, CCS, CCS-P, CCDS Medicare Advantage (MA) reimbursement can trip you up in ways you didn’t expect. If you are seeing MA patients, be mindful of opportunities and...
View ArticleStop Waving Compliance Red Flags
By Robert A. Pelaia, Esq., CPC, CPCO It’s foolish to ignore the signs that set off Office of Inspector (OIG) radar. Look around your work environment. If an OIG investigator walked into your office...
View ArticleDevelop a Strategy to Manage Take Backs
By Delly Parham, CPC “Take backs” have replaced “pay backs,” thanks to the adoption of paperless business practices. This demands a new approach to overpayment issues. What is a take back, and what...
View ArticleMD News: Ancillary Service Smarts
Ideally, ancillary services not only add value to a practice, they also provide care patients want or need, drawing in new clients and keeping the existing patient base on site. AAPC’s VP of Business...
View ArticleRevenue Benchmarks Improve Finances During the Big Move
Monitor financial performance and mitigate risks associated with the pre- and post-transition to ICD-10. By Ken Bradley Now is the time for physician practices to get revenue cycles in order—not six...
View ArticleBill Locum Tenens According to CMS Guidelines
Substitute physicians can contribute to a practice’s revenue stream when modifier Q6 is used properly. By LuAnn Jenkins, CPC, CPMA, CMRS, CEMC, CFPC Locum tenens is a Latin phrase that means “(one)...
View ArticlePayment Reform Brings Healthcare Change
Become familiar with new initiatives and payment models, and be willing to adapt. By Lamon Willis, CPC, CPCO, CPC-I, CPC-H Among 191 countries, the World Health Organization ranks the United States as...
View ArticleStreamline Your Revenue Cycle
Part 1: Begin with solid policies and procedures. By Linda Martien, CPC, CPC-H, CPMA Being a practice manager means you must know where the buck stops in your facility or office: Who is accountable for...
View ArticleManage Cash Flow: No Margin, No Mission!
Take action to bolster revenue and give your practice financial breathing room. There are several reasons why cash flow may be impeded in medical practice, and there are several strategies to mitigate...
View ArticleTips for Successful Medical Billing
Medical billers and providers nationwide face difficulty when establishing best medical billing practices for improving practice revenue cycles. With a goal to submit clean claims that support...
View ArticleStreamline Your Revenue Cycle
Part 2: Fix patient registration errors to restore your practice’s financial health. By Linda Martien, CPC, CPC-H, CPMA The accuracy of patient registration is an important factor in whether claims are...
View ArticleReduce Administrative Burdens with ICD-10-CM
Target where your practice squanders resources and alleviate the waste, long term. By Rhonda Buckholtz, CPC, CPMA, CPC-I, CENTC, CGSC, COBGC, CPEDC There has been much speculation on the potential...
View ArticleRisk Adjustment Paints a Valuable Picture
This payment model gives you a better view into patient conditions and care. By Brian Boyce, BSHS, CPC, CPC-I Risk adjustment is known primarily for its role in Medicare Advantage plans, but is now...
View ArticleProcure the Best Management Report
Key performance indicators will help you generate a true picture of practice revenue. by Jim Strafford, CEDC, MCS-P Since I began my career in revenue cycle management, formerly called accounts...
View ArticleRecognize the New Face of Patient Collections
Success relies on front desk staff collections and post-claim payment strategies. by Mary Pat Whaley, FACMPE, CPC In the past, collections in medical practices focused predominantly on insurance...
View ArticleStreamline Your Revenue Cycle
Part 3: Billing problems? Consider your charge ticket. by Linda Martien, CPC, CPC-H, CPMA Are you charging for every service you perform? If your practice is like most, the answer is probably “No.”...
View ArticleTurn Your Supply Cabinet into a Profit Center
Bolster HCPCS Level II revenue with an nine-step supply chain management process. By Chris Varani, MBA, MS Finance, CPC-A As your practice cares for patients throughout the day, you probably use many...
View ArticleStreamline Your Revenue Cycle
Part 4: Establish complete and accurate charge capture and remittance advice. By Linda Martien, CPC, COC, CPMA Charge capture is critical to your overall revenue cycle and it’s important for you have...
View ArticleThink of Capturing Revenue as Spokes on a Wheel
When your revenue functions are working in unison, you’re in for a smooth ride. By Michelle Stallings, CPC Revenue capture in a medical practice can be compared to a wheel. The wheel begins to turn the...
View ArticleShrink Revenue Leakage with Strategic Communication
Analyze root cause and resolve issues by encouraging communication across departments. By Tina Hill, CPC, MHA Poor communication throughout a revenue cycle is common and often results in revenue leaks....
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