If you think of revenue cycle management like building a house, payer credentialing is the foundation. If you can’t get the payer credentialing right, you simply can’t get paid. Keeping your credentialing up to date is imperative to getting you paid for your services. As a whole, it’s the payer’s role to challenge and manage…
Month: October 2015
Revenue Cycle Management: 5 Things To Monitor (Part 1)
Revenue Cycle Management for the medical industry can be defined as processing claims and managing payments and revenue. It includes multiple high-importance duties such as determining a patient’s eligibility, collecting their copays, producing correct coding for a claim, receiving payment for claims, and following up with denied claims. Why Is Revenue Cycle Management Important? As…
Struggling with ICD-10? Here’s How To Cope
ICD-10 is finally upon us, and I think everyone can agree, while it has been a stressful time, we are happy to see it arrive. Yet another delay would have been a little exhausting. That being said, it doesn’t mean that physicians were not underprepared. Are they still alive? Yes. But around the board, it…
ICD-10 Means Big Changes For Mental Health Providers
ICD-10 implementation is now underway, and psychologists, therapists, and psychiatrists are in for a huge change. In fact, they are in for the biggest coding change in decades. With over 55,000 new diagnostic codes, all physicians are likely to feel the pressure. Every single diagnostic code currently being used by therapists practicing ICD-9 will become…
Medical Credentialing Services For Your Practice
Medical credentialing is painfully boring and time-consuming, but absolutely crucial. If medical credentialing is done poorly, it wreaks havoc on a practice. Common credentialing errors cause scheduling delays, fluctuation in revenue cycle, and much more. It’s important to take the appropriate amount of time necessary for credentialing, instead of waiting a month before a new…
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