Expert Interview: Marchelle Cagle of caglecpc.com on Medical Billing

Expert Interview: Marchelle Cagle of caglecpc.com on Medical Billing

Marchelle Cagle, of Cagle Medical Consulting, is a health consultant who has written many articles and blogs in the areas of coding and billing. We recently asked for Marchelle’s insight on medical billing – here’s what she shared: Tell us your story. How did you get into medical billing? What services do you offer today? I started working in medical billing and coding over 20 years ago. One of my first jobs was with a medical billing company. Today I...

Simplify Your Medical Billing

Simplify Your Medical Billing

Billing is an integral part of running any type of successful medical practice, but how you go about billing makes a huge difference in patient satisfaction and practice profitability. Inefficient billing practices can make cash flow grind to a halt, and disorganized billing practices can making receiving payments feel like pulling teeth. Traditionally, medical practices employed dedicated individuals to handle billing procedures, but as the health care industry has become busier and more hectic, administrative employees are often tasked with...

Vanessa Higgins of The Billing Department Inc. On Revenue Cycle Management

Vanessa Higgins of The Billing Department Inc. On Revenue Cycle Management

Vanessa Higgins is the owner of, The Billing Department Inc., a growing billing company that specializes in helping small healthcare providers succeed. We recently checked in with Vanessa to get her insight on revenue cycle management and the future of medical billing. Here’s what she had to say: Tell us the story behind the Billing Department. The Billing Department comes from a long line of jobs working in-house for all different types of healthcare providers, as well as my own...

Tammy Tipton of Appeals Solutions Inc. On Optimizing Denial Management

Tammy Tipton of Appeals Solutions Inc. On Optimizing Denial Management

Tammy Tipton is President of Appeal Solutions Inc. and the co-author of Power of Appeals Denial Management System. She is also the author of Turning Insurance Denials Into Dollars, a popular denial management manual for both hospital and physicians. She has written extensively on the topic of medical receivables and has frequently lectured on conducting successful appeals and using today’s complex legal system to protect healthcare claim assets. Her company, Appeal Solutions, provides medical claim recovery consulting to hospitals, physicians...

Interview With Bob Liepman of Documed Medical Billing Services

Interview With Bob Liepman of Documed Medical Billing Services

Since 1988, Bob Liepman has owned Documed Medical Billing Services, which manages the entire revenue cycle for clients in the medical and behavioral health professions. We recently asked Bob a few questions about Documed and about some of the challenges facing practices today when it comes to managing billing. Here’s what he had to say: What services do you offer through Documed? Services include collecting patient, insurance, and charge data in order to bill third-party payers efficiently and effectively. After...

Does Your Practice Apply Medical Billing Best Practices?

Does Your Practice Apply Medical Billing Best Practices?

Medical billing is one of the most important aspects of running a successful practice, and if done properly, it can increase revenue and profitability. If done improperly without using best practices, however, it can cause all kinds of financial difficulties for your facility and its staff, and this can lead to lowered standards of patient care and less patient satisfaction. Tie all of this together and it’s likely that your practice will receive negative brand identity, and this can ultimately...

Using Medical Billing Software to Keep the Focus On Patient Care

Using Medical Billing Software to Keep the Focus On Patient Care

There’s no doubt that patient care is the top priority when managing a medical practice, but the truth is, you can’t deliver superior patient care without also protecting your practice’s bottom line. Everything from improper coding to distracted care can affect patient relationships, and in such situations, you may end up doing quite a bit of harm to your practice’s reputation and brand loyalty. For instance, if you overbill patients, your practice will not only be under scrutiny, but it...

Physicians will send an average of 3.3 billing statements before a patient’s outstanding balance is paid in full

According to a MGMA–Medical Group Management Association report, physicians will send an average of 3.3 billing statements before a patient’s outstanding balance is paid in full. The trickiest conversation a practice has is that of collecting patient balances. The delay may have multiple causes, such as: Practices’ reluctance to talk to patients about money Physicians’ refusal to enforce payment policies with longtime patients or those who are going through financial hardships Ineffective patient collection policies, possibly because they’re focused on...

Practice Management Hack #6 – Checking Insurance Benefits, Eligibility Verification

Double Checking Demographics & Eligibility Verification Inaccurate or incomplete patient demographics are the number one cause for claim rejections. Insuring that thorough and accurate patient information is obtained and recorded is the second step of the revenue cycle. The following tips can empower front-office staff, optimize your patient demographic information collection—and improve patient satisfaction in the process. Is education available for your front-office staff? These employees are the portal for the business office as well as your patients, and they...

New ICD-10 Software Guide: Interview with Gaby Loria of Software Advice

As we countdown to October 1, for many, readiness for ICD-10 will come down to the wire. Here’s the latest: Good news came July 6th when CMS announced a coding leniency contingency, stating that ICD-10 claims with errors will not be rejected if they bear codes from the proper family. The downside to this contingency is that it applies only to CMS, meaning that commercial payers will do what they will come Oct 1st. (see petition to President Obama) Surprising...

Fraud Alert: Are You On the Edge of the Medicare Bell Curve?

$21 million sounds like a lot of money, and it is. It’s also the amount Dr. Salomon Melgen, a North Palm Beach ophthalmologist, received from Medicare in 2012. More recently, he received the top Medicare biller award and 46 counts of healthcare fraud from federal prosecutors. Of course, this begs the question of how one medical provider can receive 6,417% more in Medicare reimbursement than the average ophthalmologist ($327,239 per year). We may never know the answer, but we can...

Before You Outsource Medical Billing, Read This!

Medical billing is a key part of your practice’s survival, like it or not. While you focus on patient care, the need exists to ensure that patients are not only paying their bills, but also that they are being billed correctly. Problems can arise, however, when you don’t have the resources available to keep up with your practice’s medical billing. While it’s true that managing your own patient invoicing provides greater control over the process, it can come with a...