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If It Ain't Broke, Don't Fix It… Or Maybe You Should

The importance of a healthy bottom line is fundamental to the survival of any health care provider, whether it is a 300-bed hospital, a specialized surgical center, or an emergency department of a community based urgent care center. The continuing existence of any health care provider is becoming more and more dependent on the success (or lack of success) of the relationships these entities have with a Managed Care Organizations (MCO), and the managed care agreements that connect a health care provider and the MCO. These relationships will often start off with enthusiasm and a drive for a…

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New Revenue: Remove the Emotion

Creating new revenue sources to attract new patients and to better serve existing patients is critical for the growth of any company. As the saying goes: If you are not growing, you are dying. So grow, baby, grow! Dr. Reynolds points out in his post “3 Keys to Revenue Success,” that there are only three ways to increase revenue: • Increase the number of customers, • Increase the price per customer, and … • Increase the number of times a customer returns. There is another way to achieve increased revenue, though: contracting with a vendor to provide services. For example, you could…

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Enroll Me Over!

Whether you are an experienced or a new health care provider, it is likely that you have questioned the what, when, why and how of the credentialing process. The truth of the matter is….it ain’t easy… … Receiving and completing credentialing documents can be overwhelming, to say the least. The basic required credentialing documents may include, but are not limited to: Payor applications … State standardized credentialing applications … State licensing applications … CAQH enrollment forms … Malpractice Coverage … Medicare applications … Medicaid applications … Payor…

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I ATTEST THAT THE FOLLOWING IS TRUE AND ACCURATE…

As a health care provider, it is likely that you have had to respond to questions in credentialing applications, a license renewal or a certification regarding your background, history or to information that doesn’t really seem applicable to your ability to provide services to your patients…quess what….it is applicable!! Most, if not all, applications related to the provision of health care services, typically include a series of questions that require a response for the application to be processed. These questions are often referred to as “Attestation&rdquo…

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How to Get Insurance Payments Faster - Medical Billing Tips

One of the most important medical billing tips for getting faster reimbursement is better documentation. A few extra minutes can save you time and money and help you get paid faster. It’s important you understand why. The average AR days for a claim to be paid after it is sent out is between 25-33 days. Are your AR days within this range? If not, one of the first steps you can take at the clinic level is completing your medical records. Documenting the history, exam and medical decision making is a must but there are a lot of other things that can cause a medical record to be…

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Save Time With These EMR Tips

It’s ok to copy and paste, right? Maybe. The answer depends on what you plan to copy and paste. Most EMRs have a function where past information will auto-populate into the current medical record. This can be a useful timesaver, especially in the history section. However, you must be aware of the risks associated with this action. One place to watch is the current medications list. Some EMRs will automatically carry over every medication the patient has previously reported or prescribed by your clinic. Sometimes a patient will have two or three pages of medications listed. It will show…

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What Does a Medical Biller (Actually) Do? How to Get Faster Payments

Your billing company is a crucial component to your practice's success. Learning and understanding the billing process and what your biller does daily, will help contribute to the everyday operations of your business. What Does Your Medical Biller (actually) Do? Your biller's job is to use provider documentation to produce and submit claims to insurance companies. Your biller will then work directly with the insurance companies, healthcare providers, and patients to get claims processed and paid. They also review and appeal unpaid and denied claims. Your billing team will verify…

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Medical Practice Tips for Negotiating Vendor Contracts

Creating new revenue sources to attract new patients, and better serve existing patients, is critical for growth in any company. As the saying goes – if you are not growing, you’re dying – so grow, baby grow! Dr. Reynolds points out in his blog article 3 Keys to Revenue Success, there are only three ways to increase revenue: • Increase the number of customers, • Increase the price per customer, and … • Increase the number of times a customer returns … One way to achieve increased revenue is to contract with a vendor to provide services. For example, working with an allergy…

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Taking Total Responsibility for Your Life and Practice

Have you ever felt like you were out of control in your medical practice? Like you no longer controlled how you got paid, what kind of patients you saw, and even felt like you were being told how to take care of patient? I start most of my Medical Practice Success Summits by asking, “What is the number one problem in your practice?” I normally get all kinds of answers- everything from employees, to cash, to competition. After a pause, I inform the attendees that “The number one problem in your business is you.” You must understand this. If I replaced you with someone…

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Spinal manipulation therapy may provide improvements in function for people with lower back pain, review indicates

The San Diego Union-Tribune (4/11, Fikes) reports, “Spinal manipulative therapy, including chiropractic care, provides modest relief from pain and improvements in function for those with acute lower back pain,” research suggests. In its “Shots” blog and on its “All Things Considered” program, NPR (4/11, Neighmond) reports researchers arrived at that conclusion that after analyzing data from “26 studies involving more than 1,700 patients with lower back pain.” The findings of the review were published in the Journal of the American Medical…

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