Insurance verification can feel like a behind-the-scenes operation, but for patients, it’s often a source of stress, confusion, and surprise bills. Helping patients understand what’s happening, why it matters, and what they need to do can go a long way toward creating a more transparent and positive experience at your practice. Here’s how to bring patients into the insurance … [Read more...] about Bringing Patients Into the Loop: Communicating and Managing the Insurance Verification Process
insurance
Understanding the Financial Side of Insurance Billing
Insurance billing might not be the most glamorous part of managing a medical office, but it’s absolutely one of the most critical. If you really want to keep your practice financially healthy, you need a strong grasp of how the billing and reimbursement process works—even if you aren’t the one submitting claims day-to-day. Understanding the financial side helps you spot … [Read more...] about Understanding the Financial Side of Insurance Billing
How to add an insurance specialist to your team
Having a skilled insurance specialist on your team is essential for maintaining smooth financial operations and ensuring patient satisfaction. This role serves as a vital link between your practice, insurance companies, and patients. From verifying patient coverage to submitting claims and resolving billing disputes, an insurance specialist helps reduce financial stress for … [Read more...] about How to add an insurance specialist to your team
What you need to consider before getting started in telemedicine
By Nick Hernandez bio Many practices are hearing about telemedicine and becoming increasingly interested in how such a program could be implemented in their operations. Physicians want to start a telemedicine program quickly. Practice managers don't want to learn by trial and error. The biggest issue I see by far is that practices immediately focus on the technology. … [Read more...] about What you need to consider before getting started in telemedicine
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
How to determine the order of multiple insurance coverages
By Ranadene (Randi) K. Tapio, MBA, CMRS, CMC, Guest Contributor bio When patients have multiple insurance coverage, at times it can be difficult to determine which one is primary, secondary, and tertiary. Sometimes, the patients don't even know which order they go in! While there are always going to be exceptions, here are some basic guidelines to keep in mind: … [Read more...] about How to determine the order of multiple insurance coverages
3 tips for selecting a health and benefits advisor
By David C. Fortosis bio The responsibility of selecting, designing, financing, and managing employee benefits is a critical task in today's medical office business. Retirement and medical benefits are subject to more and more legislation and require adherence to legislative mandates. In addition, the combination of retirement and health and welfare benefits … [Read more...] about 3 tips for selecting a health and benefits advisor