Out-of-Network Billing
There is a lot to consider when you are deciding to take your practice out-of-network. It is best to discuss the decision with your entire team and take into consideration how your patients will respond, your competition, and potential financial impact.
How Long Does Credentialing Take?
Why is credentialing so slow? After all, doesn’t it seem like you complete an application, submit it and it could be reviewed and approved in a couple of weeks? Let’s take a closer look at the process.
The Pre-Authorization Story
Once upon a time, a practice could forget to get a pre-authorization or maybe exceed the scope or maybe even provide the pre-authorized service on a different day and the carriers would allow for retro-authorizations so the claim would be paid.
Patient Privacy in the Digital Age
The digital age opened a Pandora’s Box of new threats and security concerns for all businesses—especially clinical practices. Federal agencies, like the National Institute of Standards and Technology, and legislation drive guidelines…
Got Stress? Try This...
Sheila Johnson of WellSheila has some suggestions that may help. You don’t have to be a yoga enthusiast or even someone who has tried yoga in order to benefit from these 5 tips.
Are Denied Claims Costing Your Practice Money?
Practice owners review many valuable metrics that help monitor the practice’s finances. Some industry experts say the key metric is the clean claims ratio and insist it is essential for real success.
Communication Is at the Heart of Customer Service
You’ve heard it said that real estate is all about “location, location, location.” But when it comes to customer service, it’s all about “communication, communication, communication.”
Are the Right People on Your Team?
Running a successful practice takes exceptional patient care, outstanding customer service, business acumen and timely accurate billing. You need a team you can count on, and you need a medical billing company that can adapt to the ever-changing healthcare billing landscape.
Will My Practice Benefit From eStatements/ePayments?
Historically, most practices were geared toward government and commercial payers for the majority of their collections. However, the shift to greater patient financial responsibility has increased the resources needed in order to collect the money owed to you.
There Is a Cure to Medical Necessity Denials
Did you know that claims for services that do not meet the requirements of medical necessity are getting denied instantly? Payers are increasingly more focused on the issue of medical necessity.