Previous government incentive programs like Physician Quality Reporting System (PQRS) and Meaningful Use (MU) have officially been phased out as of 2017. In healthcare, we have a new alphabet soup to work with to receive Medicare incentive payments called the Merit-based Incentive Payment System, or MIPS. In this article we’ll try to de-mystify some of […]
MIPS: Are you ready? Read More »
You have heard the term from every technical vendor your work with – they will provide you a dashboard that will review for you top issues in your systems, compare your practice to similar sized practices and show where you rank nationally among their customers. While this is helpful data, reporting and analytics can be
Practice Analytics Read More »
In today’s article, we are going to continue to review best practices for follow up on some of the most common denials, regardless of specialty. Missing Information There are several types of common Missing Information denials. First you may be missing Medical Records. In this case, the payor needs the chart or progress note to
Working Common Denials (part 2) Read More »
One of the most important pieces to opening a new practice, or moving from one practice to another, is your payor Credentialing. This is a time intensive process most providers or office managers do not have the bandwidth for. This is where outsourcing your credentialing can be critical. You typically want to allow a minimum
Credentialing and CAQH Completion Read More »
Depending on your practice, there may be several types of top denials. In today’s article, we are going to review best practices for follow up on some of the most common denials, regardless of specialty. Coverage Termed/Expired Per the EOB, the patient’s service denied as Coverage Termed or Expired at the time of the service.
Working Common Denials (part 1) Read More »
If you’re a leader, you probably have a drive in you to do things with excellence. You also probably have a specific perspective of what “right” looks like, and high expectation for things to be done in that right way. For leaders, this is a great and valuable thing. Knowing what you expect of your
Three Ways to Leverage Expectations for Growth Read More »
