Most medical providers genuinely serve to improve their patients’ health. Fraud in healthcare system is identical to any other industry and some fraudsters take precedence to unjustly profit. Healthcare crooks include patients, payers, employers, vendors, suppliers, and providers. Orderly crime…
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Managing Denial: Proven techniques that get claims paid
“The best defense is a good offense” a precept that has been applied in various fields. You have to be attentive when filing claims to insurance to achieve the max first pass acceptance ratio. Your perception that everything was submitted…
The Deadly Consequences: Forgiving Patient’s Responsibility
Sometime back prior to 1940s, most of the people in the United States paid their own medical bills. It was a “Direct Pay” where people were treated and cared for in their homes and were expected to pay for that…
Posted in ICD-10, Practice Management solutions, Revenue Cycle Management Tagged with: Collection Management, medical billing, Revenue Cycle Enhancement, soft collection
Estimate Patient Expected Out-of-Pocket Responsibility
It’s nearly 75% of provider organizations bad debt are reported from outstanding patient balances. Thanks to the Affordable Care Act plans, high deductible and larger co-pay’s continues to soar patient financial responsibilities. Ground Reality: A larger portion of patient’s walks…
Posted in Practice Management solutions Tagged with: Estimator Analyzer, Out-of-Pocket Responsibility, Patient Payment Estimator
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