Posts Categorized: Reimbursement

Top Reasons For Denied Claims

Every practice deals with the headache of denied claims. Insurance companies are strict, and their rules are constantly changing. It takes a lot of time and attention to detail to keep a low denial rate. Reducing your denial rate is a critical way practices can improve their revenue cycle outcomes. A low denial rate and…


Everything Physician Practices Need to Know About the 2019 MPFS

We already know that the work for revenue cycle teams will┬áincrease┬áin 2019. After the CMS published the Medicare Physician Fee Schedule (MPFS), we also know that reimbursement rates will remain flat across the board. These trends together will make it difficult for practices to increase their revenue this year. There are several factors that make…


Reimbursement Defined

For physicians, reimbursement is about getting paid for what they have already done. After providing services, prescriptions, or advice, they are entitled to payment. For this to occur, medical coders, billers and practice managers must intervene. They try to document the correct CPT codes, with the correct modifiers, in the correct magic formula so insurance…