How Can Changes in Telemedicine Financially Impact Your Practice?

Posted by Practice Management Institute on Aug 23, 2021 8:09:34 AM

The rapid evolution of telehealth services has helped keep medical practice virtual doors open to meet their patients' health needs during the pandemic. But with new utilization comes cautionary areas from a billing standpoint, and it's important to stay current on updates and compliance protocols to promote revenue growth and avoid financial loss. 

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Topics: Practice management, payer contract, medical office compliance, medical practice issues, medical billing, financial management, medical coding

Telehealth a Lifeline for Medical Practices: Proceed with Caution Say Experts

Posted by Nancy Clements on Apr 14, 2021 11:30:00 AM

Pay careful attention to the latest reimbursement, compliance guidelines, and waivers as you integrate telehealth into patient care, experts warn. As the newness wears off, denials could start rolling in if you aren't watching the updates closely. 

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Topics: Practice management, Practice cash flow, medical office compliance, medical practice issues, medical billing

Practice Managers and Auditors: Learn to Stand Your Ground with Payers

Posted by Nancy Clements on Apr 13, 2021 5:15:06 PM

Changes to healthcare delivery, and billing codes during the pandemic, along with major updates to the E/M documentation guidelines have created a ripe environment for government-contracted auditors. But you have the right to challenge auditors. Take steps now to establish your culture of compliance.

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Topics: Practice cash flow, payer contract, carrier contract guidelines, medical office, medical billing, financial management, auditing

Education and Hard Work Have Helped Elizabeth Daley Set a Strong Foundation for Career Growth

Posted by Nancy Clements on Mar 10, 2021 12:39:18 PM

Elizabeth Daley, MHA, CMIS, CMOM, CMCO, is Director of Client Success at Collect Rx, a 15-year-old company launched by former executives from third-party vendors who pioneered the out-of-network (OON) industry. The company works with 2,100 clients across the country and have built a proprietary database with thousands of claim resolutions at their fingertips to facilitate and expedite the negotiation process.

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Topics: Practice cash flow, value proposition, carrier contract guidelines, medical practice issues, medical billing, financial management

5 Ways to Improve Patient Collections in a Medical Practice

Posted by Practice Management Institute on Sep 24, 2019 8:11:00 AM

A Medical Office Manager’s Guide to Patient Collections

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Topics: Practice cash flow, medical office manager topics, medical billing, financial management

Identifying Medicare Overpayments and How to Resolve Them

Posted by Practice Management Institute on Aug 1, 2019 4:22:44 PM

In a busy medical practice, the risk of error runs high. This is a dangerous assertion when you consider that mistakes in a medical record can negatively impact a patient’s health. Mistakes made repeatedly in medical claims may flag your practice for an audit and, if overpayments are found, can result in huge fines and penalties from the government.

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Topics: Practice management, PMI Certification, cmom certification, medical practice issues, medical fraud, medical billing, medicare

In-house vs. Outsourced Billing: Tips for Medical Office Managers

Posted by Practice Management Institute on Jun 26, 2019 8:11:33 AM

Portions of this article were originally published in BC Advantage Magazine March 5, 2019

A whopping 25 to 31 percent of total health care expenditures in the U.S. are administrative costs, according to a time-driven, activity-based costing study published last year in the Journal of the American Medical Association (JAMA)1. These are huge margins for healthcare providers already squeezed by insurers and increasing costs of care. You may wonder if the grass is greener on the other side.

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Topics: Practice management, CMOM, PMI Certification, Certified Medical Office Manager, medical office manager topics, medical practice issues, medical billing