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Written by RMK Holdings Inc.
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Saturday, 20 February 2010 15:38 |
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Inform the patient of any insurance carrier rebill - For example, a patient letter can be sent that states who was billed and what services or dates are still outstanding.
Then provide instructions to contact the practice management client services representative or the plan benefit administrator so that the amount does not become a patient responsibility. You will be amazed at the number of calls this generates.
And in the majority of cases, you may find that claims were originally rejected because of simple issues such as missing information from the patient or responsible party!
Even though the patient receives an explanation of benefits, implementing this “checks and balances” step will increase cash flow while further fostering positive patient relations.
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Last Updated on Saturday, 20 February 2010 15:41 |
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Written by RMK Holdings Inc.
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Tuesday, 02 February 2010 14:03 |
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Call the patient’s attention to any patient balance owed or balances exceeding 90 days - Do this when the patient schedules an appointment or visits the office/facility. Patients can also be advised of deductibles and coinsurance amounts at this time.
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Last Updated on Tuesday, 02 February 2010 14:05 |
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Written by RMK Holdings Inc.
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Monday, 25 January 2010 15:03 |
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1. Know your health plan contracts inside and out, especially the top 20 to 30 CPT codes that generate 90% of your revenue. Be proactive and track the reimbursement of these key codes to determine proposed pay cuts and voice your objections to the provider representative. You may be able to retain your current reimbursement.
2. If rate decreases continue, increase your productivity. Analyze your patient flow to identify areas that can be streamlined, enhanced, or retooled. Also, some practices hire nurse practitioners or physician assistants who can do 80 percent of what a primary-care physician can do for less than half of what a physician earns.
3. Bring previously outsourced ancillary services inhouse - only if it will turn a profit and is worth the time invested.
4. Consider seeing privately insured patients on a cash only basis.
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Last Updated on Monday, 25 January 2010 15:05 |
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Written by RMK Holdings Inc.
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Sunday, 17 January 2010 23:37 |
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Verify insurance benefits before the patient’s appointment - This will enable your employee, and/or your practice management system account representative to immediately identify patients that may have changed carriers, have pre-existing exclusions or large deductibles. Plus, your patients will know and be prepared, in advance, of their financial responsibility.
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Last Updated on Sunday, 17 January 2010 23:41 |
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Written by RMK Holdings Inc.
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Monday, 28 December 2009 21:30 |
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Scan insurance cards into the system - Once a card is scanned into the system, it is easy for the practice management system account representative or your employee to immediately correct a claim if it is rejected for a typographical error or omission.
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Last Updated on Monday, 28 December 2009 21:34 |
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