Insurers don’t make obtaining preauthorizations easy, demanding substantial administrative time compiling patient histories, submitting claim forms, responding to information requests, and negotiating approvals. But skipping this burdensome process can lead to financial disaster. Alarmingly, 70% of claim denials result from lack of proper preauthorizations coupled with failure to subsequently appeal. Without prior approval certifying medical […]
Patient Collections Guide (free download)
Your free download will begin shortly… With patients becoming increasingly responsible for the cost of their medical care, having the right processes in place is vital for any practice. Having an efficient patient collection process includes patient education, staff training, transparency before treatment, collecting co-pays and deductibles at the time of service, and easy payment […]
3 Common Questions About Estimating Patient Responsibility
3 Common Questions About Estimating Patient Responsibility With higher deductibles, patient responsibility is increasing. As patient balances climb, practices are seeking effective methods of collecting outstanding balances and to collect more at time of service. Estimating patient responsibility prior to claim adjudication can be very challenging, and there is really no method that guarantees 100% […]
5 Tips to Prepare for New Medicare Card Numbers
What’s Changing? Beginning this month, April 2018, the Centers for Medicare & Medicaid Services will begin mailing new Medicare cards to all active Medicare beneficiaries. The roll out is expected to last about a year. New cards will no longer contain the subscriber’s social security number due to concerns about identity theft. Instead, they will […]
6 Tips to Avoid Physical Therapy Denials
Physical therapy and occupational therapy coding and billing can be quite challenging. As is the case with most specialties, providers need to be aware of what’s expected by each payer to ensure proper reimbursement. Here are six tips to help you avoid physical therapy denials. These tips will ensure proper coding to avoid payer scrutiny, […]
