Can You Afford To Hire An Additional Biller?

Can You Afford To Hire An Additional Biller?

Rapid growth is both a blessing and a curse. You start out with plenty of bandwidth to handle all aspects of managing your practice. Your patients love and trust you. It’s the perfect balance of care and collections. Then you grow rapidly…and before you know it, your internal structure is fracturing, billing is falling behind, and there’s a noticeable increase in billing errors. Your patients notice, too. Staff seem hurried and a little less personable. The first solution that comes...

How to Scale Your Practice – And Keep Up With Billing

How to Scale Your Practice – And Keep Up With Billing

Want to scale your practice 25% over the next 12 months?   Here’s a common road map: Month 1 – Bring on another doctor Month 2 – Open a new location Month 3 – Accept new patients and new insurances; offer concierge services Month 4 – Hire a NP or PA The fatal flaw contained in this plan—is the assumption that your infrastructure will scale smoothly without disrupting cash flow. Even when you have the funding and the patients to...

2019 Review of PracticeFusion’s New Bi-Directional Billing Interface

2019 Review of PracticeFusion’s New Bi-Directional Billing Interface

PracticeSuite is the only medical billing software with a bi-directional interface to Practice Fusion We’ve reviewed the top 12 EHR or electronic health record systems on the market today. Our readers need to know what to expect from various EHR vendors, and we’re happy to provide the good, the bad, and sometimes the ugly when it comes to software for medical practices. An EHR system by strict definition should offer both clinical and practice management solutions combined in an all-in-one...

The Dark Side of Hiring A Medical Biller

The Dark Side of Hiring A Medical Biller

Providers looking to expand their practice or improve their revenue cycle are faced with one and the same dilemma: that of hiring an experienced medical biller. The hard truth is that hiring smart, experienced people for any role in your practice is a time-consuming task that does not always bear fruit. The low unemployment rate and the fact that some areas of the country never fully recovered from the Great Recession are just two factors contributing to hiring difficulties. Another...

7 Best Prior Authorization Solutions: HEI Global Health

7 Best Prior Authorization Solutions: HEI Global Health

2019 Best Prior Authorization Solutions: HEI Global Health In our prior authorization review of the best solutions for 2019, we’ve ranked seven vendors as the top options to help physician practices automate and speed up pre-authorization for their patients. Fifth on our list of top 7 prior authorization solutions for 2019 is HEI. Here, we provide an in depth review of our #4 choice HEI Global Health Prior Authorization Solution Pros of HEI Authorizations can be worked manually or electronically based on individual...

7 Best Prior Authorization Solutions: CareConnections

7 Best Prior Authorization Solutions: CareConnections

2019 Best Prior Authorization Solutions: CareConnections In our prior authorization review of the best solutions for 2019, we’ve ranked seven vendors as the top options to help physician practices automate and speed up pre authorization for their patients. Fourth on our list of top 7 prior authorization solutions for 2019 is CareConnections. Here, we provide an in depth review of our #4 choice CareConnections Prior Advice/Authorization System (PAS) Pros of PAS CareConnections provides physical therapist with utilization advice and treatment guidelines. Its Clinical...

7 Best Prior Authorization Solutions: Azalea Health

7 Best Prior Authorization Solutions: Azalea Health

2019 Best Prior Authorization Solutions: Azalea Health In our prior authorization review of the best solutions for 2019, we’ve ranked seven vendors as the top options to help physician practices automate and speed up preauthorization for their patients. Third on our list of top 7 prior authorization solutions for 2019 is Azalea Health. Here, we provide an in depth review of our #3 choice Azalea Health Pre-authorization Services Pros of Azalea With prior authorization services from Azalea, you get an experienced partner owning...

7 Best Prior Authorization Solutions: Availity

7 Best Prior Authorization Solutions: Availity

2019 Best Prior Authorization Solutions: Availity It may be impossible to name any task more unpleasant than waiting on hold with an insurance carrier in an attempt to obtain prior authorization for a patient procedure, referral, or medication. In our prior authorization review of the best solutions for 2019, we’ve ranked seven vendors as top options to help physician practices automate and speed up pre authorization for their patients. Second on our list of top 7 prior authorization solutions for 2019 is...

7 Best Prior Authorization Solutions: PracticeSuite

7 Best Prior Authorization Solutions: PracticeSuite

2019 Top Prior Authorization Solutions: PracticeSuite It may be impossible to name any task more unpleasant than waiting on hold with an insurance carrier in an attempt to obtain pre authorization for a patient procedure, referral, or prescription medication. And the only way the situation can be worsened is when after 30 minutes, you’re told that the particular coverage sought is handled by a third-party administrator, or TPA. So you calmly ask for the contact information and start all over...

Biologics and Prior Authorization – A Healthcare Perfect Storm

Biologics and Prior Authorization – A Healthcare Perfect Storm

Physicians trying to prescribe a biologic for a patient often run into a pre authorization perfect storm: A patient excited about a new medication option, a payer less than enthusiastic about the cost of the medication, and clinical staffers frustrated with the prior authorization system. Indeed, in a June article in Practical Dermatology, Dr. Michael Sherling describes a 45-year-old man who suffers from psoriasis so severe he rarely goes out in warm weather. Various topical therapies have proven ineffective, so...

Claims Denied For No Prior Authorization

Claims Denied For No Prior Authorization

When Claims Are Denied For No Authorization   Even as billers work diligently to reduce claims denials, payers are expanding the number of visit types and procedures that require prior authorization—leading to an upswing in denials for some practices. It is estimated that 80% of denied claims have to do with no authorization being obtained, or authorizations being requested improperly. Still, there are types of medicine, such as emergency medicine, who routinely see claims denied for lack of prior approval....

Prior Authorization for Durable Medical Equipment on the Rise

Prior Authorization for Durable Medical Equipment on the Rise

Prior Authorization for Durable Medical Equipment on the Rise   The majority of prior authorization nightmare stories center around patients not being able to receive needed medication, whether for new prescription or because of a change in insurer rules. But medication is not the only thing physicians must submit prior approvals for. Dr. Pierre Manzo recently told the story of a patient trying to replace his CPAP machine because it was falling apart. His insurer wanted him to undergo a...