Contract review is a delicate dance but doing your homework and negotiating for a better deal helps to achieve a better outcome, says healthcare attorney, Heidi Kocher.
Contract review is a delicate dance but doing your homework and negotiating for a better deal helps to achieve a better outcome, says healthcare attorney, Heidi Kocher.
By David T. Womack, President/CEO of Practice Management Institute
Billing problems are an ongoing point of frustration in medical offices. Errors and denials can quickly snowball, creating big revenue cycle problems. One study from BMC Health Services Research found that time spent coding, filing claims and obtaining prior authorizations, cost the U.S. healthcare system as much as $471 billion in 2012.[1]
Why We Host: An Interview with Lisa Lee, Senior Manager, Outreach Development for University Health System
MAY 15, 2017 -- As many as 80 percent of all medical claims submitted to insurance carriers contain mistakes estimated at $68 billion (1). Approximately 55 percent of evaluation and management (E/M) claims are incorrectly coded resulting in $6.7 billion in improper Medicare payments.(2) Providers looking to avoid lost revenue and serious consequences are raising the training standards of its administrative staff seeking out those who have completed specialized training and certification offered by Practice Management Institute (PMI).
Medical coding errors can cause considerable damage to both patients and providers in the form of inaccurate medical bills and lost revenue for the medical office. The best practice is to employ well-trained and qualified staff to ensure that correct claims are submitted for reimbursement the first time.
Zika first hit the Americas in March of 2015, from tourists who traveled to Brazil to watch the World Cup. According to the CDC, as of August 31, 2016, there have been 2,722 cases of Zika in the U.S., 35 of those cases were contracted within the country. All 35 cases were contracted in Florida. It is predicted that Zika will spread most prevalently in locations where Brazilians often travel to and where the Aedes Mosquito that carries the Zika virus lives.
Originally found at: http://www.lilesparker.com/2012/08/16/outsourced-billing-compliance-risks/