When it comes to breaking up diagnostic lab kickback schemes, federal enforcers start with the lab that paid the kickbacks and then turn to the downstream physicians who accepted them. This was the pattern in the Millennium Labs case. And now it seems to be playing out in the other lab kickback mega-scandal, the one involving Health Diagnostic Laboratory, Inc. (HDL). The … [Read more...] about Feds target doctors who took kickbacks
Billing & collections
Do you have the ‘right stuff’ to be a successful medical office manager?
As the office manager of a medical practice, you have an opportunity to learn, grow, and make a valuable contribution. "You really get the chance to be a part of a small business and to wear a lot of different hats," says Mary Pat Whaley, co-founder and president of Manage My Practice, a medical practice consulting firm. What's more, because most physicians are not business … [Read more...] about Do you have the ‘right stuff’ to be a successful medical office manager?
A 30-day collection agency letter cuts the A/R days in Atlanta office
A four-physician surgery practice has reduced its receivables significantly with a collection approach that begins when a bill gets to be a month old. At 31 days, every account with a balance greater than $50 gets turned over to the collection agency, explains Anjelica Alston, practice manager for Piedmont Colorectal Associates in Atlanta. But there’s no actual collection … [Read more...] about A 30-day collection agency letter cuts the A/R days in Atlanta office
Use weekly meetings with doctors to keep office running smoothly
Meeting every week with the doctors makes a tremendous difference in how smoothly – and also how successfully – an office operates, says the manager of a pediatrics practice in Colorado. For her office, it's an 8 a.m. meeting every Monday, a good time, because it sets the tone for the week. It also keeps everybody on the same page. And it ensures that the doctors know all the … [Read more...] about Use weekly meetings with doctors to keep office running smoothly
This 2 step program makes it easy to collect more money at the time of service
Ask any office "how well do you collect at the time of service?" and the answer will be "outstanding!" But almost no offices can define outstanding, says Reed Tinsley, CPA, a medical practice business advisor in Houston. Here's the definition: at the time of service, the office should be getting some type of payment from 90% of the patients who can pay anything, even $1. "It … [Read more...] about This 2 step program makes it easy to collect more money at the time of service
7 best practices for optimizing your collections
By Ranadene (Randi) K. Tapio, MBA, CMRS, CMC, Guest Contributor bio Collections isn't the most glamorous part of running a practice. Perhaps the only thing worse than making collections calls is receiving them! Unfortunately, collections is necessary and if done correctly, it will allow you to collect on accounts that have sat stagnant for months, sometimes years. In … [Read more...] about 7 best practices for optimizing your collections
Finding the “backdoor” into payer networks
By Steve Selbst bio I am delighted to be able to share with you a key "secret to success" about payer contracting. Today's article is about getting in the "backdoor" with payers and complementing your payer network by building your patient/customer base. In my journey navigating tens of thousands of payer contracts' negotiations, it has become clear to me that there … [Read more...] about Finding the “backdoor” into payer networks
How to improve your practice’s denial management system
With many payors now intensifying their efforts to deny or reduce claims, your medical office's denial management system is more critical than ever for protecting and increasing practice profitability, according to Beth Pysell, a certified professional coder (CPC) and healthcare consultant for Coding Strategies Inc. Pysell says an efficient denial management system can help … [Read more...] about How to improve your practice’s denial management system
6 key ingredients of a profitable medical practice
Medical office managers are often so focused on the day-to-day that it can be easy to lose sight of the big picture. That big picture is profitability—because, without it, the practice will not remain in business. Although profitability isn't rocket science—after all, only rocket science is rocket science—it does require attention to detail, or what Medical Office Manager … [Read more...] about 6 key ingredients of a profitable medical practice
Three key items to negotiate for successful payer contracts
By Steve Selbst bio The purpose of this article is to help you, as a provider, to focus on three key items to look for in payer contracts that will help you to get profitable contracts in place. The three key areas that we will examine are fee schedule amendments, lesser of billed charges vs. contracted rates, and claims' payments. 1. Fee Schedule Fee schedules … [Read more...] about Three key items to negotiate for successful payer contracts