What exactly is denials management? What are the benefits of tracking and managing your denials? Who should be tracking your denials rate? In today’s blog, we’re going to explore these questions. Denials Management Denials management is the process of reporting on received denials on a regular timetable, usually set by executive management. Be it weekly …
Happy 2018! As you wrap up year end activities, now is the time to put into place solutions that will improve your revenue cycle for the entire year. Check in It starts at the beginning. That’s a little redundant isn’t it? But it’s true. Your revenue cycle starts when your patient checks into the office …
Your Practice’s New Year Resolution: A Better Revenue Cycle Read More »
Depending on your practice, eligibility can mean many different things to many different specialties. However, the key to a strong revenue cycle and patient collections strategy begins with eligibility verification. Basic Eligibility What is basic eligibility? This is checking with the insurance company ahead of the patient’s appointment to make sure they still have an …
“It’s the Most Wonderful Time of the Year,” and “Tis the Season to be Jolly” are phrases we hear in movies, carols and conversations, but the holidays are also a time when stress levels, pressure, depression or conflict are at an all-time high. We can feel overwhelmed by the expectations and even become depressed during …
Denials are a fact of life for every medical practice. From demographic errors to medical necessity, denials come in easy to fix solutions and time-consuming levels of appeal. A recent article from the Healthcare Finance News website (http://www.healthcarefinancenews.com/news/denials-still-major-risk-revenue-cycle-departments-despite-build-out) noted that hospitals in particular “wrote off as uncollectable 90% more denials than 6 years ago.” The …
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 …
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 …
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 …
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 …
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. …
