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The payment posting process in the medical billing cycle is not always done correctly but it is an important step. Click the link to learn more.
"Most medical practices deal with a large number of claims every day, and if they're not accurate, more time is required to fix the problems, which means, the longer it takes to get paid. Oftentimes, practices are saddled with a backlog of payments to post, or they lack electronic remittance advice (ERA) file enrollments and do not have clear insights into why claims are getting denied.
This is where payment posting comes in. By having a strong process in place, practices can identify payer problems – such as medical necessity denials, services that are not covered or when prior authorization is required – from the start. These issues can then be quickly addressed before they delay care or result in costly billing mistakes. It can also help with reconciling data from explanation of benefits (EOBs) and ERAs to ensure it matches actual payments."
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Don't forget this important step in your practice's medical billing cycle
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Considering adding remote patient monitoring at your medical practice? Here are essential things to know first.
"RPM uses information technology to transmit patient-generated health data gathered outside the clinical setting to the patient’s health care team so they can make assessments about the patient’s progress, and if necessary, intervene to make treatment adjustments aimed at improving outcomes. Used most effectively, RPM has the potential to help health care professionals (HCPs) care for millions of Americans with manageable chronic diseases, such as diabetes, obesity, and hypertension. In fact, it’s a win-win care strategy that’s beneficial for patients, HCPs, payors, and healthcare systems."
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Jumping into remote patient monitoring
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Our CEO, Susanne Madden, talks about speaking healthcare and online reputation!
#physicians #doctors #pediatricians #pediatricpractice #physicianpractice #medicalpractice #healthcare
The Pediatric Lounge on LinkedIn: #ceo #founder #speaking #healthplan #googlemybusiness #reviews #coaching…
Participating in New Healthcare Exchange Plans
/in Articles /by Susanne MaddenPearl | February 19, 2014 |
By Susanne Madden
It is early with regard to the healthcare exchange plans and yet practices across the country are already feeling the impact. It’s not just consumers who have experienced problems while attempting to sign up for the exchange plans on the healthcare.gov website; providers too are dealing with major headaches as they navigate through the first couple of months of this new system.
Looking for more information about the effects of healthcare reform on your medical practice? Join us May 2 & 3 in Newport Beach, Calif., for Practice Rx, a new conference for physicians and office administrators.
Let me explain. The insurance companies created something called “narrow networks” within their full network of providers. What that means is that only a subset of physicians within any given insurance company’s network “qualified” for participation in the exchange plans. The result is that while some physicians got rolled into these plans, others were excluded, even though they participate in some of the other products with that particular insurance company. For example, a physician could be participating with an HMO and a PPO-type product, but be excluded from the exchange product. This has created a dilemma for many practices. On the one hand, it means no new business coming in from new exchange members. On the other hand, it also means scrambling to hold onto existing patients that have switched to these new, lower-priced health insurance products.
Medical Practice Super Groups, Are They for You?
/in Articles /by Susanne MaddenPHYSICIANS PRACTICE Pearl | November 20, 2013 |
By Susanne Madden
Practices today are facing challenges such as lower earnings, more complex regulations, higher costs, obligations to create higher-quality care and produce better outcomes, all while they see other colleagues merge or become acquired by local hospitals or healthcare systems. So at least once a week I get an inquiry from a physician asking, “Should I sell my practice?”
There is no single answer to that question. It depends on many factors, including whether or not the practice is in good financial shape and if it is well managed. I do consider those to be two of the strongest indicators for successfully remaining independent. However, the options shouldn’t be limited to either selling or remaining independent.
New Measures in Pay-for-Performance Programs
/in Articles /by Susanne MaddenPearl | October 16, 2013 | Physician Compensation, Payers, Pearls, Performance
By Susanne Madden
Pay-for-performance programs are beginning to shift to emphasize outcomes. Here’s what your practice needs to know about new initiatives.
See more at: www.physicianspractice.com/physician-compensation/new-measures-pay-performance-programs
Marketing Your Patient-Centered Medical Home
/in Articles /by Susanne MaddenPearl | August 28, 2013 | Healthcare Reform, Marketing, Pearls, Practice Models
By Susanne Madden
You’ve received recognition as a Patient-Centered Medical Home, now be sure to market that fact effectively to prospective and current patients.
See more at: www.physicianspractice.com/healthcare-reform/marketing-your-patient-centered-medical-home
Improving Care Coordination in Your Practice
/in Articles /by Susanne MaddenPearl | June 12, 2013 | Pearls, Finance, Managers Administrators, Patient Relations
By Susanne Madden
Practices are feverishly working to control the rising costs of healthcare – effective care coordination can help.
See more at: www.physicianspractice.com/pearls/improving-care-coordination-your-practice
Providing Healthcare Coverage for Your Medical Practice Employees
/in Articles /by Susanne MaddenPearl | April 17, 2013 | Pearls, Finance, Healthcare Reform, Staff
By Susanne Madden
Providing healthcare insurance for your employees can sometimes seem impossible. But don’t despair. There are new options to help your practice afford coverage.
See more at: www.physicianspractice.com/pearls/providing-healthcare-coverage-your-medical-practice-employees
The Benefits of Social Media: Blogging about Your Medical Practice
/in Articles /by Susanne MaddenPearl | January 30, 2013 | Pearls, Marketing, Mobile, Patient Relations
By Susanne Madden
Much has been written about “social media” and while it seems like a great way to promote a retail business, is it a good tool for your practice?
See more at: www.physicianspractice.com/pearls/benefits-social-media-blogging-about-your-medical-practice
FAQs About Patient-Centered Medical Home Recognition Programs
/in Articles /by Susanne MaddenBy now you have likely encountered the term “Patient-
Make the Most of Patient Education Opportunities at Your Practice
/in Articles /by Susanne MaddenPearl | September 18, 2012 | Pearls, Patient Relations, Staff, Managers Administrators
By Susanne Madden
Do you think your patients would rather be educated by their provider or by Dr. WebMD? Make your practice the place patients can go to learn about their healthcare from the person they trust most — you.
See more at: www.physicianspractice.com/pearls/make-most-patient-education-opportunities-your-practice
Building a Website for Your Practice
/in Articles /by Susanne MaddenPearl | December 28, 2011 | Pearls, Marketing, Operations, Technology, Patient Relations, Managers Administrators, Patient Portals
By Susanne Madden
Even if you’ve had a site for years, it’s worth reevaluating what information lives there and update it from time to time.
See more at: www.physicianspractice.com/pearls/building-website-your-practice