Clinical Documentation News Roundup: Medical Billing and Collections Edition

Clinical Documentation News Roundup: Medical Billing and Collections Edition

Clinical Documentation News Roundup: Medical Billing and Collections Edition

There's a good chance they're among your least favorite aspects of running your practice, but strong medical billing and collections policies and procedures are essential to keeping the practice thriving.

This week's Clinical Documentation News Roundup brings you articles and blog posts with news and best practices advice on medical billing and collections to help you catch errors and improve your processes:

  • 5 Biggest Medical Practice Collections Mistakes at Physicians Practice: "While your practice's financial situation may not be quite as dire as the one Sosebee encountered, it could be making similar collections mistakes that come at heavy costs — the consequences of which are magnified as reimbursement declines and overhead increases. To ensure your practice is collecting as much of its hard-earned cash as possible, we asked Sosebee and other medical practice revenue experts to weigh in."

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  • Direct Pay is the Solution to Real World Cost Transparency at KevinMD:  "Fourteen months ago, my nurse and I made the choice to bypass third party payers and to contract directly with our clients. We have been rewarded with a thriving practice of people who are delighted to pay cash up front knowing that there are no hidden costs to worry about later. Overhead is minuscule in this model which automatically slashes costs by less than half. We provide our patients with a price list upfront and they reward us by listening to and following the care and advise they have purchased."

  •  Medicare Makes an "Oops!" on Denial of Incarcerated Claims  at the AAFP Getting Paid blog: "If you recently had a Medicare claim denied because the patient was supposedly "incarcerated," the Centers for Medicare & Medicaid Services (CMS) wants you to know it may have made a mistake. The CMS earlier this summer began denying claims and initiating recoveries on previously paid claims from physicians and others based on Social Security Administration data that indicated that the Medicare beneficiaries cared for had been incarcerated on the date of service. Medicare will generally not pay for medical items and services furnished to a beneficiary who is incarcerated..."

  •  Successful ACOs Say They Struggle to Get Physician Issues Ironed Out at American Medical News: "Four accountable care organizations that are meeting their goals in increasing quality of care while controlling costs say not everything is working out to their satisfaction — particularly, transitioning from fee-for-service to value-based payment models."

  • UHC Adds Payment Service to Plan Member Portal at Employee Benefit News: "In an effort to boost plan member engagement and turn workers into better health care consumers, UnitedHealthcare has added an electronic bill-payment service to its claims management website. The new service enables the carrier’s plan participants to pay medical bills electronically by entering their credit card, debit card or bank account information. It’s the latest addition to the company’s plan member portal and the service is integrated with plan participants’ online claims information The company believes such services will become increasingly important as consumers continue to foot the bill for a larger percentage of their medical bills, says Victoria Bogatyrenko, vice president of product development and innovation with UnitedHealthcare."

Logan Solutions uses a combination of clinical practice expertise and technological skill to help physician practices throughout the U.S. implement, customize and improve their ERM and Dragon Medical software systems. Contact us to find out how our clinical-practice expertise can help your practice with its clinical documentation software needs.