To keep pace with changes to healthcare reimbursement, hospitals and healthcare organizations need to reduce inefficiency in their revenue cycle management. One significant cause from revenue loss is claim denials due to lack of prior authorizations. You cannot work backwards to get retro-authorizations for most insurance companies. Therefore, no prior authorization = no payment. Take…
Month: November 2018
Does your staff know how to correctly bill patients?
Incorrect medical billing issues and misleading claims ranked in the top 10 complaints on the Consumer Federation of America report released on July 27th, 2017. The specific complaints related to patients receiving an incorrect bill for: services they did not receive services that weren’t billed to their insurance company services that should have been covered…
Improving cash flow and physician compensation requires working hand-in-hand.
Did you know that physician compensation only increased for 37% of all independent physicians in 2017? That’s a sobering thought that compensations have remained relatively flat for many physician specialties year over year. And couple that with a decrease in overall practice cash flow and constantly changing coding rules, and you’ve got unhappy physicians and…
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