Misc Services

Service Spotlight: Miscellaneous Services

[vc_row][vc_column][rev_slider_vc alias="misc-services"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]In our Service Spotlight articles, we usually pick one aspect of Legacy Consulting Services and do a thorough review of what that service entails. In this week’s blog post, we are going to take a look at some of the more Miscellaneous “A la Carte Services.” Practice Checkup Our consultants look at all the critical areas of the business to evaluate and identify areas for improvement and potential for growth. Review of...

Donna White
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Dealing with Rejections and Denials

[vc_row][vc_column][rev_slider_vc alias="rejections"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Finding the root issue of denials and rejections is essential to keeping a consistent cash flow for your practice. Many times, rejections and denials can be avoided through simple changes to daily processes. Denials and Rejections -- what's the difference? Before we get into ways to fix issues that cause rejections or denials, we need to know that there's a difference between a rejection and a denial. A rejection is a...

Donna White
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Checklist

The Ultimate Revenue Cycle Checklist

[vc_row][vc_column][rev_slider_vc alias="ultimate-checklist"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Understanding the revenue cycle for your practice can seem like a mystery. But there are several areas you can focus on to make sure your revenue cycle stays under control. 1. Charge Entry Make sure your claims are as clean as possible prior to submission. It is more complex than just keying charges from a superbill or importing charges through your EMR. Each payor has different requirements for submitting clean...

Donna White
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Value Based Care

How Value Based Care is Changing Your Revenue Cycle

[vc_row][vc_column][rev_slider_vc alias="value-based-care"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]by: Jennifer A. Geoppinger A practice's rejections and denials are a key piece to keep cash flowing swiftly for the practice. So is office workflow. But with the looming change to value based care coming, there are certain key areas that practices should be watching for to ensure minimal impact to their revenue. None of the items pointed out today are new philosophies in the revenue cycle management industry. They...

Donna White
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Adjudication process

The Adjudication Process: At a Glance

[vc_row][vc_column][rev_slider_vc alias="adjudication"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text] By: Amanda Campbell We all understand the complexity behind just simply filing a claim. What about after the claim is submitted to the payer, beyond the clearinghouse? Once a claim is accepted into the adjudication system or payer processing system there are typically five different processes in which the claim must be reviewed. For larger group health payers these are automated or electronic processes. When taking consideration into the adjudication system...

Donna White
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Checklist

Registration Rejections & Denials

[vc_row][vc_column][rev_slider_vc alias="registration-reject"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text] Written by Amanda Campbell As a medical billing and collections specialist for the last 11 years, I find the most common denials and/or rejections are related to registration errors. Denials vs. Rejections I would like to point out to begin with, there is a critical difference between a rejection and a denial: A rejection is a front end scrub of the claim, usually before the claim enters the adjudication system. You...

Donna White
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