How your Medical Practice is like a Bicycle
This medical practice management paper compares a practice to a bicycle: the physician, practice manager, medical billing software, HIPAA and OSHA training, and front office staff each have a part to play.
Resources
White papers and eBooks
Longer guides on medical billing, Medicare and practice management.
Medical Billing is as Tough as Keeping Score in Tennis
Three medical billing problems that cost practices reimbursement (referrals and prior authorization, CCI and duplicate denials, and non-covered services) and how to prevent each one.
Medical Billing is a Marathon
Medical billing training for every mile: insurance benefits and LCDs, documentation review, CCI edits, EDI transactions, and working rejections and denials, explained through a first marathon.
eBook: Establishing a New Medical Practice
A guide to establishing a new medical practice, from NPI and payer enrollment to insurance verification, claims, payment posting, denials, appeals, accounts receivable and the reports that show practice health.
eBook: Getting Up To Speed on Accountable Care Organizations
An eBook on accountable care organizations (ACOs) that explains the ACO model, the main types of ACOs, first-year Medicare Pioneer ACO results, and how Aetna, Cigna and UnitedHealth used ACOs in 2013.
The Journey to Understanding Medicare Billing Starts Here
A Medicare billing guide in eleven sections: appeals, duplicate claims, EHR and PQRS incentives, incident to, LCDs, MUEs, NPI, E/M prepayment review, remittance terms, sequestration and the global surgical package.
Medical Office Workflow White Paper
This medical office workflow white paper covers six steps, from the new patient check list and insurance verification to payment posting and A/R follow-up, that help a practice get claims paid the first time.
Medical Office Workflow
The earlier version of our medical office workflow white paper on six steps to getting claims paid, with the full article published on the later version.
Check the Vital Signs of your Medical Practice
Check the financial health of your medical practice with three vital signs: new patients and referrals, billed services and contract reimbursement, and accounts receivable aging and collections.
NPI: 5 Frequently Asked Questions
Five frequently asked questions about the NPI (National Provider Identifier): what it is, how to apply, how it differs from a Tax ID, UPIN, PIN and PTAN, where to look one up, and group vs individual NPI.
Practice Management Billing Tools for Radiation Oncology
How practice management billing tools for radiation oncology, including real-time eligibility, Record and Verify integration, claim scrubbers, electronic claims and ERAs, and a billing action plan, raise reimbursement.
Understanding Explanation of Benefits Statements
A guide to understanding Explanation of Benefits statements, with a sample Medicare remittance, payer term crosswalk, claim adjustment group and reason codes, and remark codes for posting payments.
Understanding Medicare Fiscal Intermediaries LCD’s and How They Affect You
What a Medicare Local Coverage Determination (LCD) is, how LCD criteria lead to denials and appeals, and how to search LCDs by CPT or HCPCS code and follow changes to them.