The Vital Role EMR Plays in Medical Billing

    When the American Recovery and Reinvestment Act was approved, all healthcare providers (both public and private) were required to adopt the use of electronic medical records (EMR). Since January 1, 2014, EMR systems have assisted several healthcare organizations in maintaining health-related information on patients, as well as improving workflow and the quality of…


Consequences of Coding Errors

One of the largest causes of medical coding errors is due to inadequate medical documentation. Because of ICD-10, sets of more specific codes have been implemented and the CMS modify codes on a quarterly and annual basis. Incorrect coding, or miscoding, is likely for any medical practice that does not implement ongoing CPT code training for their medical coders. It…


Two Observations For Patients, That Providers May Not Tell You

You might have heard frustration from a patient who has gone from doctor appointment to appointment with no change in diagnosis and feels unheard, ignored or dismissed OR, their symptoms/concerns have not been taken seriously. These are the first patients to seek out a new physician without first voicing their concerns and frustrations with their…


Is Your Healthcare Facility’s Revenue Moving in the Wrong Direction?

The more patients you have, the more revenue you are bringing in, right? Wrong. While you would think more patients should mean you are improving your revenue within your medical practice, this is not the case. In fact, if healthcare practices are not careful, they could be losing revenue even as more patients come walking…


NEW E/M Coding Changes Coming 2019

Heads Up for Healthcare –  NEW E/M Coding Changes Coming 2019 We all know that change is the only constant in the Medical Coding world. This recent CMS release of coding initiatives in 2019 proposes a pretty significant change for Evaluation and Management (E/M) coding that can impact doctor visits for both the patients and…


How 2 – Select the Right Revenue Cycle Management Service

Solutions As A Service – AKA outsourcing, is a great investment for a growing practice for a number of reasons. The most important reasons being: Revenue Cycle Management Services can be all-encompassing or a la carte. The end goal is to streamline the administrative part of your practice, implementing a system that can save you time and…


Validate Care Quality via Procedure Documentation

Clinical documentation is at the core of every patient encounter. It is to document the care provided to the patient, as well as to communicate with other providers. In order to be meaningful, it must be accurate, timely and reflect the scope of services provided.   Elaborate on Quality of Care Make clinical documentation improvements…


Auditing With NO Fear, NO Frustration and NO Faults

When you think about an audit like an interrogation, it can invoke anxiety. If you change your perspective to look at audits as an improvement tool, it can be something practice owners and managers can look forward to. Occasional Billing and Coding Audits are valuable tools to help improve your revenue cycle and maintain compliance…


What if your billing team went away tomorrow?

What if your medical billing team went away tomorrow? It’s happened to more than one practice. Like many specialty medical practices, you probably have an in-house team that handles your revenue cycle management; From billing to coding, to auditing, collections, payment posting, claims re-submissions and dealing with payors. For some practices, this in-house arrangement works…


Optimize Patient Collections in 3 Steps

  Optimizing Patient Collections Long gone are the days of $25 co-pays and $250 deductibles. With the increasing prevalence of high deductible insurance and patient cost-sharing plans, it has never been more important to the financial health of your practice to have an efficient patient pre-collections program in place. Less than 50% of these up…