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medical billing Blog posts

January 28, 2020
by Simon Hughes

No red flags: filing neat, complete, and accurate insurance claims

Through customer-focused service, open communication regarding office policies, immediate insurance verification, and daily cash flow monitoring, you can significantly increase the efficiency of your front office.

January 28, 2020
by Simon Hughes

Eligibility and verification

When the patient arrives the day of the appointment, the first thing your staff should be verifying is the patient’s insurance. Sometimes you find that insurance has changed in just the short period between scheduling and appointment day. Another reason for insurance verification is to prevent or detect insurance fraud/identity theft. According to The Institute […]

January 15, 2020
by Simon Hughes

Evaluating practice performance – start with the numbers

 

October 23, 2019
by Simon Hughes

8 MIPS tips for the 2018 reporting year

I have been privileged to work with many practices and specialties, helping them navigate the very confusing Medicare Quality Programs. I wanted to leave you with a few tips for the 2018 reporting year:

October 22, 2019
by Simon Hughes

Outsource your medical billing to get paid faster

Medical billing can be time-consuming, yet, if you’re like many physicians who are in private practice, you have your staff handle patient billing in-house. No doubt you know that billing is also one of the most complicated aspects of running your own medical practice.

October 22, 2019
by Simon Hughes

How to handle medical billing patient phone calls

Medical billers must have a comprehensive knowledge of various aspects of physician practice management. They must know billing and coding as well as explain the costs of medical treatment to a patient in person. They must also know Medicare/Medicaid regulations, HIPAA, and other complex state/federal guidelines, insurance requirements, and more.

October 15, 2019
by Simon Hughes

Here’s how often IBM’s Watson agrees with doctors on the best way to treat cancer

We’re starting to get a better picture of how artificial intelligence could help doctors better treat cancer.

October 4, 2019
by Simon Hughes

Are you being underpaid by medicare advantage organizations?

What’s the Problem? Sequestration underpayments have been improperly withheld from provider payments by many Medicare Advantage Organizations [MAO] in violation of CMS guidelines that were issued on May 1, 2013.

October 4, 2019
by Simon Hughes

Beyond appointment reminders

Many practices use an automated system for sending appointment reminders. You’re already paying for the service and the call, so why not maximize its value to your practice? Here’s some small changes to your appointment reminders that can yield big results.

October 4, 2019
by Simon Hughes

Budgeting helps medical practices eliminate financial unknowns

Each year, we hear of practices continuing to stress over falling reimbursements and rising costs. Yet, all too often, the year-end financial results of a medical practice still come as a surprise to its owners and management.