Outsourcing your medical billing can be a huge relief for practice owners who don’t have the manpower or resources to manage the revenue cycle.

Whether you know it or not, rejections and denials are the biggest reasons you’re not getting paid. 

To be a successful Front Desk Specialist or to effectively manage a medical private practice, you need to know the lingo. Today, we’re going to define the terms frequently used when verifying a patient’s insurance benefits.  

What is a CAQH Proview Profile?

The Council for Affordable Quality Healthcare (CAQH) launched the CAQH ProView Profile in 2002 with the purpose of eliminating redundant paper applications during provider enrollment. Healthcare providers can register for an account at no cost and input their demographic, professional, and practice information for health plans to access during the insurance enrollment process.

An Independent Physicians Association (IPA) is an entity owned by a network of independent physicians with the purpose of reducing overhead and establishing contracts with Health Maintenance Organizations (HMO) and Managed Care Organizations (MCO). IPAs provide independent practices the freedom to deliver high-quality, personalized care to their patients while providing resources to stay competitive.

Credentialing, also known as provider enrollment, is often a mysterious subject for rehab therapy providers. Throughout your career as a provider, you’ve probably heard a bunch of credentialing myths that you may have taken as truth. Let’s explore some of the common misconceptions about credentialing and clarify them so this topic can be less daunting.

Since joining Account Matters, Inc. nearly 6 years ago, I’ve had the pleasure of attending many Physical Therapy conferences. I always enjoy meeting existing clients face-to-face and meeting new people in the industry at big conferences like APTA Private Practice Section or APTA NEXT.

Higher profits- that’s the goal, isn’t it? According to Gallup research, a highly engaged staff can increase your business profits by 21%. There are many ways to engage and empower employees, we’re going to highlight the four that you can implement with your front desk staff today so you can begin to reap the rewards of an empowered front desk team.

Your practice’s billing team likely spends a lot of time on the phone with insurance companies. In a perfect world, claims would go out and payment would come in, but it’s never that simple. If a medical claim isn’t paid within 60 days, your billing team will have to investigate why. In this article, we’re going to share some tips that our Collectors use to get accurate information from the insurance companies, quickly.