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Patient payment estimator

Price Transparency: How to Give Accurate Estimates to Patients

If you’re looking for a new way to bring in cash, check out this statistic: About 52% of patients would pay $700 more by credit card when visiting a physician if they’d gotten an estimate at the point of care. That stat from a McKinsey quarterly survey of retail health care consumers demonstrates just how […]
Marijuana in the workplace

6 Ways to Protect a Practice From Marijuana Impairment Errors

If your practice is in an area where marijuana is legal, you may think you should just look the other way when staff members are using marijuana in the workplace. But if you adopt this philosophy, you could be setting yourself up for massive liability issues. Why? One federal study found that employees who test […]
Excel pivot tables

3 MS Excel Features That Can Benefit Medical Practices

If you work in a medical practice, you know how useful Microsoft Excel can be for everything from tracking revenue to logging HIPAA requests. But because Excel offers an unlimited number of ways to display data and information — and to analyze it — you may find some benefit from discovering new ways to use […]
Delegated credentialing

How Delegated Credentialing Can Help Practices Bring in Cash

Before your practice can get paid for your providers’ services, those clinicians must go through the payer enrollment process, which has multiple credentialing steps that can take upwards of six months to complete. And every day of delay when your providers aren’t credentialed means you’re losing money. The solution for many practices is delegated credentialing. […]
Incident to billing

3 Examples Help Strengthen Your Incident To Billing Skills

When a nonphysician practitioner (NPP) sees a Medicare patient at your practice, you can typically plan to collect a reduced rate compared to what a physician would receive for the same service. But one way you can avoid accepting 15% less pay for the same service is by utilizing incident to billing — if you […]
CPT 2024

CPT 2024: Check New RSV, COVID-19 Immunization Codes

If your practice likes to get ahead of the curve, now’s the time to start getting to know the 2024 CPT codes. The American Medical Association (AMA) released the updated code set on September 8, revealing 230 new codes, 49 deletions and 70 revisions. Take a look at some of the highlights you’ll find as […]
Patient billing

When Can You Charge Patients After Insurance Denials?

It’s a common occurrence at medical practices: You submit a claim to the insurer and in return, you get a denial. You don’t want to absorb the cost of the service you’ve already provided, so your next step is to determine whether you can bill the patient directly. While patient billing may be a complex […]
Insurance appeals

Master the Insurance Appeal Timeline to Fight Payer Denials

Working in healthcare is stressful enough without having to track your appeals on the calendar — but staying on time and meeting appeal deadlines will be essential if you want a strong chance of payers reversing their denial decisions. Your best bet in setting up your insurance appeals for success will be to make sure […]
Urine drug testing

3 Compliance Tips to Follow When Billing Urine Drug Testing

Because urine drug testing (UDT) codes don’t bring in massive reimbursement on a per-claim basis, many practices think the OIG isn’t paying much attention to these services — but that misconception can get you into trouble. In fact, the OIG frequently comes after practices that incorrectly report drug testing services, not only asking for refunds, […]
How long should providers keep eobs

EOB Retention Laws: How Long Must You Keep Them?

Your practice has researched how long to retain medical records, imaging scans, patient correspondence and tax forms. But have you ever wondered how long should providers keep EOBs? The explanation of benefits you receive are a valuable part of your files, but many practices wonder if it’s essential to hang on to them for long […]