Latest from Kareo

Are You Staying Current with Your Major Payers?

By Sara M. Larch, MSHA, FACMPE

It is critical for a medical practice to have individuals who are experts on your major payers. At your front desk, staff need payer-specific knowledge in order to handle financial clearance, accurate registration, referrals, obtain waiver forms when appropriate, and collect time of service payments. Your billing staff need payer knowledge for accurate payment posting, AR follow up and denial management. Here are some useful tips on how to do that, with a sample Payer Guide form you can download and use... Read More

How to Get Paid Better - Part 1

By Judy Capko

Many medical practices are crying the blues in this tough economy. At the same time, collecting from patients has gotten more challenging with more financial responsibility for healthcare services being placed on the patient. It doesn't matter if you or your patients think it's right or wrong; it's time for the medical world to get serious about getting paid better for what you do. It is not just a matter of billing the payer and tracking claims, it's a matter of understanding payer and patient performance and accountability! Follow these steps and you are bound to see an improvement in collections and your financial picture... Read More

Case Study Success for Physicians Depends on Competent, Knowledgeable Billing Michelle Cunningham, MD Michelle Cunningham, MD, is an internist specializing in geriatrics in Houston, TX. When she graduated from Baylor College of Medicine in 2006, she decided she wanted to go into solo practice. But according to Dr. Cunningham, she was totally unprepared for the business side of medicine.... Read More

Billing Tips of the Month

We're pleased to announce a tie this month for our Medical Billing Tip of the Month contest. One tip focuses on billing procedures, and the other on building the best possible billing team. Both winners will receive the prize.

Avoid Denials by Checking for 4th or 5th Digit

By Margaret R. Smith

One of the things I do to save time is when I have a diagnosis code that I'm not familiar with - in other words, I don't use it too often - if the code is three or four digits I always... Read More

Create a R.I.C.H. Culture in Your Office

By Dan Young, Vice President/Operations, Resolutions Billing & Consulting, Inc.

What has improved our billing processes initially had nothing to do with the hands-on side of billing. However, the hands-on processes have greatly improved because of our organizational structure. Here is what we have done over the last year: 1. We have created a R.I.C.H culture in our office. Respect, Integrity, Competency, and Humility... Read More

Top News and Ideas from Industry

ICD-10-CM - Significant Changes to Coding Are On the Way

Jeri Leong, RN, CPC, CPC-H, CPMA, www.surgistrategies.com, Nov. 8, 2010

The United States officially will begin use of ICD-10-CM on October 1, 2013. All HIPAA 'covered entities' must make the change. Implementation will not be delayed: Physicians and staff should begin educational efforts now so they are prepared for the deadline. The differences between ICD-9-CM (which has been the standard for over 30 years) and ICD-10-CM are significant... Read More

MGMA Survey: Medical Groups with EHRs Report Better Financial Performance than Practices with Paper Medical Records

MGMA, Oct. 25, 2010

Medical practices that have implemented an electronic health record (EHR) system report better financial performance than those that have not, according to the Medical Group Management Association's (MGMA's) newly released Electronic Health Records Impacts on Revenue, Costs, and Staffing: 2010 Report Based on 2009 Data.... Read More

"Heal That Claim:" Take Action Against Inaccurate Insurance Payments

Physicians News Digest, Nov. 1, 2010

The American Medical Association (AMA) today urged physicians to take action this fall against inaccurate payments from private health insurers. The AMA has designated November as "Heal that Claim" month and is supplying physicians with tools to fight flawed and inefficient claims processing by health insurers. One in five medical claims is processed inaccurately by commercial health insurers, according to the AMA's National Health Insurer Report Card. A 20 percent error rate represents an intolerable level of inefficiency that wastes an estimated $15.5 billion annually... Read More

AMA: Patients and Physicians Call on Congress to Stop Medicare Cut

Cecil B. Wilson, President of the American Medical Association, Nov. 11, 2010

Medicare physician payment cuts are once again looming in the immediate future, with a cut of 25 percent now threatening to hurt access to care for seniors and military families. As many doctors know all too well, the looming cut is forcing physicians to make difficult decisions about the continuing role Medicare can play in their practices... Read More

Annual Planning Techniques for Your Practice

Owen Dahl, Physicians Practice, Oct. 20, 2010

If you live in the northeastern part of the country, you've probably noticed the leaves falling outside your office window. This should be your cue to start reflecting on how your practice has prospered or faltered this past year and begin planning new directions for the coming year. Seasoned practice owners and administrators know the importance of setting practice goals, both short and long term. In today's turbulent economy, having a roadmap is even more important. So as you prepare to chart the direction of your practice in 2011, here are a few steps to consider... Read More

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