Maximizing Billing and Collections in the Medical Practice PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Maximizing Billing and Collections in the Medical Practice PDF full book. Access full book title Maximizing Billing and Collections in the Medical Practice by Kay Stanley. Download full books in PDF and EPUB format.
Author: Kay Stanley
Publisher: American Medical Association Press
ISBN: 9781579478674
Category : Accounts receivable
Languages : en
Pages : 0
Get Book
Book Description
"Provide analytical tools and systematic review processes for the practice administrator to strengthen the practice's business operations"--Provided by publisher.
Author: Kay Stanley
Publisher: American Medical Association Press
ISBN: 9781579478674
Category : Accounts receivable
Languages : en
Pages : 0
Get Book
Book Description
"Provide analytical tools and systematic review processes for the practice administrator to strengthen the practice's business operations"--Provided by publisher.
Author: Deborah L. Walker
Publisher: Medical Group Management Assn
ISBN: 9781568292304
Category : Business & Economics
Languages : en
Pages : 274
Get Book
Book Description
Collect money owed to your practice. Improve your revenue cycle by maximizing key processes for professional fee billing. Written by industry experts, this book is a step-by-step guide to billing and collection processes, performance outcomes and advanced billing practices. It includes case studies, tools, checklists, resources, policies and procedures to help you diagnose problems and develop plans to attain optimal financial performance.
Author: Deborah Walker Keegan
Publisher: Mgma
ISBN: 9781568293394
Category : Accounts receivable
Languages : en
Pages : 428
Get Book
Book Description
Full of new, innovative tools, techniques, policies and procedures, and advanced practices that allow you to diagnose and treat your revenue cycle and ensure a financially healthy bottom line. The depth and magnitude of change in health care reimbursement means that your medical practice cannot rely on the same old billing methods. Anything less than optimal performance from your billing office reduces cash flow and costs you money. The authors present cutting edge strategies to meet today s reimbursement challenges and improve the profitability of your medical practice. The authors lay out real life business practices that can be adopted tomorrow in your medical practice, including how to: Decipher consumer-directed health plans; Conduct patient financial clearance; Segment patients in terms of financial risk; Staff to effectively conduct front-end and back-end billing; Capture increased revenue at the point of care; Understand real-time claims adjudication; Shrink your collections cycle; Position your practice for pay-for-performance; Work and prevent costly claim denials and rework; Code appropriately to ensure your fair share of differential payer reimbursement; Leverage multiple technologies; and Perform a cost/benefit analysis of your revenue cycle.
Author: Kay L. Daly
Publisher: DIANE Publishing
ISBN: 1437924328
Category : Technology & Engineering
Languages : en
Pages : 13
Get Book
Book Description
Daly was asked to testify on billing practices of the Department of Veterans Affairs (VA). She had previously reported that continuing problems in billing and collection processes at VA impaired its ability to maximize revenue from private insurance companies (third-party insurers). In June 2008, she reported on its follow-up review that: (1) evaluated VA billing controls; (2) assessed VA-wide controls for collections; and (3) determined the effectiveness of VA oversight over third-party billings and collections. To perform the review, Daly conducted case-study analyses of the third-party billing function at 18 medical centers, statistically tested controls over collections VA-wide, and reviewed current oversight policies and procedures. Illustrations.
Author: AAPC
Publisher: AAPC
ISBN: 1626889856
Category : Medical
Languages : en
Pages : 14
Get Book
Book Description
Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules
Author: Catherine Cochran
Publisher: CRC Press
ISBN: 1439856249
Category : Business & Economics
Languages : en
Pages : 243
Get Book
Book Description
When a doctor sees a patient, how does the doctor’s office get paid? If a claim for a service or procedure provided is denied, how does the doctor’s office get the patient’s insurance company to pay? Handling the Medical Claim: An 8-Step Guide on "How To" Correct and Resolve Claim Issues explains—from beginning to end—how to bill and collect on claims for services provided in a physician’s office. Focusing on the CMS-1500 claim form, the book explains how to prepare and file the form to submit charges to patients’ insurance companies. Written by a medical billing specialist experienced in handling medical claims and denials on both the provider and insurer sides of the business, this step-by-step guide begins by covering some basic good practice management skills. Next, it outlines each department’s specific duties based on the each department’s responsibilities for specific parts of the claim. In addition to learning how to submit and resolve claims that cannot be processed or are denied, readers will learn how to: Enter data in the doctor’s schedule, including appointment types Gather patient data from medical records Register patients, including patient information, guarantor, and policyholder and insurance information Input information about the appointment and diagnosis Use the different types of coding systems used for billing charges Understand the claim cycle, determine reimbursement, and apply payment Obtain patient and insurance information Appeal a denied claim and handle patient balances The book includes case examples and step-by-step guidance for resolving claim issues that could arise—including how to determine what part of the chapter you can find your answer and how to link your findings to the box number on the claim form to which the problem pertains. Highlighting opportunities for increasing revenue, it includes an overview of the revenue cycle and the importance of keeping cash flow moving. Packed with forms, charts, and illustrative examples, the text supplies the tools and understanding you’ll need to manage billing and collection in any physician’s office or clinical department.
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 76
Get Book
Book Description
Author: Kay Daly
Publisher: DIANE Publishing
ISBN: 1437907725
Category : Technology & Engineering
Languages : en
Pages : 63
Get Book
Book Description
It was previously reported that continuing problems in billing and collection processes at the Dept. of Veterans Affairs (VA) impaired VA¿s ability to maximize revenue from private (third-party) insurance companies. VA has undertaken several initiatives to address these weaknesses. This audit: (1) evaluates VA billing controls; (2) assesses VA-wide controls for collections; (3) determines the effectiveness of VA-wide oversight; and (4) provides information on the status of key VA improvement initiatives. Includes recommendations. Charts and tables.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309072808
Category : Medical
Languages : en
Pages : 360
Get Book
Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Author: Medical Gurus
Publisher:
ISBN: 9781655795701
Category :
Languages : en
Pages : 174
Get Book
Book Description
This is a great MEDICAL BILLING, Collections, and Revenue Cycle Workbook or Journal for you or your office staff to utilize while contacting Insurance Carriers for Medical Claim Status. Whether you are checking claim status via phone calls or online, this is a fabulous journal tool to have at hand and on your desks. Great for contacting COMMERCIAL carriers [such as BCBS, UHC, etc], Medicare, Medicaid, and work comp. This is a great checklist that can be utilized to make certain that all pertinent claim status questions are answered by insurance representatives so that accounts can be moved forward to the next level in the healthcare provider's revenue cycle appropriately and efficiently. This training journal/workbook contains as follows; Claim status prompt fields [such as claim number, policy number, etc] Notes field for jotting down statuses of accounts Provider information spaces [such as NPI and TAX ID fields] Patient demographic fields Guarantor info Glossy cover 8.5" x 11" 174 pages Great for training Great for seasoned employees Utilize this journal by entering patient and provider details prior to contacting insurance carriers. Insurance customer service reps greatly appreciate it when we are prepared before calling. This also allows for more smoother and productive insurance claim status phone calls and which trims down waisted time. Remember, to take control of the claim status phone call, utilize this journal as a guide before, during, and after insurance call, and then bring in the cash.
