Focus on eight areas in the revenue cycle. The key to improving your organization’s bottom line, and to preventing denials, is to focus on the management of the revenue cycle. Denial Management Requires a Comprehensive Approach Successful denial management is more than just following up on denials — it’s preventing them in the first place. ...
Follow these tips to keep your healthcare organization afloat. There are many reasons why hospitals and providers are unable to collect payment from payers. To help you cut down on outstanding claims and increase provider reimbursement, it’s a good idea to understand how accounts receivable (A/R) affects your bottom line, and apply good practices to ...
In Billing
Apr 24th, 2017
Telehealth is growing in popularity and scope. Most local markets have facilities or patient groups seeing patients via the internet. But there are so many facets to telehealth and reimbursement is relatively recent. How do you make sure the online service provided is reimbursable? Here are 5 tips that will help you be reimbursed: Be ...
If appropriate rules and system edits are in place, exclusionary modifiers are the link to unbundling liability. Unbundling is a commonly asserted but often misunderstood fraud theory, even by coding experts. When evaluating potential unbundling as a fraud theory, it’s important to differentiate when separate reporting of services is simply correct coding and when it ...
2017 CPT® codes more accurately report and justify reimbursement for providers of physical medicine. New physical therapy (PT), occupational therapy (OT), and athletic training (AT) evaluation codes are the first significant changes to CPT® physical medicine and rehabilitation codes in two decades. Far more numerous, informational, and specialty-focused, the new evaluation codes solve a long-time ...