How Ortho Practices Can Prevent DME Billing Errors

Orthopaedic practices know how difficult billing for Durable Medical Equipment (DME) can be. In the midst of a busy work day, braces get sized and walk out the door quickly. By the time the physician documents their work, they may have forgotten what size it was, or even that they gave a brace at all….


Medical Coding Best Practices: Exception-Only Coding

Medical coding software is an important tool, but without the right processes in place, technology is useless.Technology can only be powerful when it is backed by users who follow industry best practices. One of the most important best practices in medical coding is coding by exception-only. Despite this, most coders continue to practice the old…


Fixing Common Revenue Cycle Bottlenecks

A bottleneck is a situation that causes delay in a process or system. It is that place in your revenue cycle that slows everything down. It delays cash flow for your practice and harms your revenue cycle outcomes. Bottlenecks are sometimes difficult to recognize and remove. Common reasons for ignoring bottlenecks are that “it’s always…


Third-Party Applications & The Quadruple Aim of Healthcare

Ever since 2007, we have been striving as a healthcare community to achieve the Triple, now Quadruple, Aim of Healthcare. There have been many barriers to this goal, and at times it seemed radical and impossible. But it is possible. Using third-party applications in electronic health records, we can move closer to the Quadruple Aim…


High Deductible Health Plans & How They Affect Your Patients

Patients and providers are both feeling the strain of high-deductible health insurance plans. Patients are responsible for more of their medical bills than ever before, and many people are struggling to make ends meet. For providers, it means that they are collecting from patients more than before, and this can be difficult when your patient…


Revenue Cycle Management Strategy: It’s More Than Reducing Denied Claims

For a long time, the majority of practices have focused their attention on keeping out denials. It’s an obvious loss of revenue when claims get denied, especially since 50% of all denied claims never get resubmitted. While keeping a low denial rate is important, many practices are actually paying a higher cost to keep their…


Physician Feedback is Key to Solving EHR Woes

Every week there is a new article or statistic reflecting the pain that physicians experience from electronic health records. The majority of physicians are dissatisfied with their EHR. It takes more time to find the information they need for patient visits, the documentation burden has increased, and it has not led to interoperability and better…


Large Orthopaedic Group Saves Additional 9.2 Hours Per Day

When you’re already very productive and excellent at managing your revenue cycle, finding even more opportunities for time savings can be difficult. That’s the problem that a client of ours recently experienced. This very large orthopaedic practice was already 2x more productive than the national average, and it didn’t seem like there was much room…


Revenue Cycle Analytics & the Hawthorne Effect

    We’ve seen it proven time and time again that practices who regularly use analytics to measure their revenue cycle see their productivity increase. Maximizing productivity is an important goal for revenue cycle managers. Productivity saves time, and time is money for a busy medical practice. Why is there a strong correlation between utilizing…


Denial Management Best Practices

Denial management is a never-ending process. Lowering your denial rate and then keeping it low requires clearly established workflows, quality technology, and staff members who are committed to the process. Below are some of the best practices that help healthcare organizations reduce denials and improve their revenue cycle outcomes. 4 Denial Management Best Practices 1….