The Dark Side of In-House Billing

The Dark Side of In-House Billing

Doctors just want to take care of their patients, but everything you do – or don’t do when it comes to coding, determines what you’ll get paid. So our question to you is this: Is the lack of clinical documentation knowledge killing your bottom line? Under-coding represents the number one area of lost revenue for physicians. We find three main reasons doctor prefer to under-code: To avoid payer hassles. Payers already challenge everything you do, constantly denying claims and making...

Not Everyone Can Be a Doctor – Not Every CFO Can Be a Practice Manager

Not Everyone Can Be a Doctor – Not Every CFO Can Be a Practice Manager

This is a true tale, but a cautionary one. We know of a practice where an excellent young physician hired his recently retired CFO dad to help him run his practice. The physician loved treating patients, and Dad, fresh out of corporate America, started a new career as a practice administrator. I bet you can already see the writing on the wall. Neither of them understood how to manage the revenue cycle, and they didn’t have the right people in...

How To Gain 2 Hours Per Day – And Get More Done

How To Gain 2 Hours Per Day – And Get More Done

The Secret To Gaining an Extra 2 Hours a Day   Recently, we’ve been working with a two-doctor, multi-specialty hybrid practice where 70% of their income comes from insurance billing and 30% comes from subscriptions. They’d been bursting at the seams with patients when their long-time office administrator and very experienced biller announced she was moved away due to her husband’s promotion and relocation. She left with a month’s notice. The doctors were able to find a replacement, but the...

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...