Credentialing has never been synonymous with fast. Many healthcare providers get frustrated with the long wait times (90-120 days) associated becoming an in-network group/provider. In this article, we’ll explain why the credentialing process takes so long even in the digital age, so you can better prepare for opening your practice or hiring additional providers.

Creating an exceptional experience for your patients involves convenient and efficient scheduling. Having a fine-tuned scheduling process will increase the likelihood of patients showing up for all visits, improving the profitability of your practice.

The front desk can be hectic with patients coming in and out, phones ringing, and time-sensitive tasks needed to be done. Your front desk staff is human, mistakes are unavoidable. But if you’re receiving a high number of denials due to data-entry errors, changes need to be made to eliminate delayed reimbursement. Let’s look into 3 ways your front desk can work smarter to reduce data-entry errors.

Setting goals for your employees is a great way to keep them engaged while improving the productivity of your practice. Check our recommendations for 10 different goals you can set for your front desk in 2021. 

1. PTA/OTA Reimbursement Cut Takes Effect in 2022

It’s been a year since CMS implemented CO/CQ modifiers for services provided “in whole or in part” to Medicare patients by PTAs and OTAs. In 2022, CMS will be reducing reimbursements by 15% for services with CO/CQ modifiers.

Is your staff struggling to get their tasks done every day? Whether it’s because they can’t do the work or they won’t do the work, productivity is becoming a growing concern in private practices. Chances are this lack of efficiency is hurting your wallet.

What is an insurance referral? 

There are two types of write-offs in medical billing: necessary and unnecessary. Necessary write-offs include contractual obligations, small balance write offs and cash-pay discounts. Unnecessary write-offs occur when billing/administrative mistakes lead to uncollectable money being left on the table. Practice owners and managers who can identify unnecessary write-offs and implement processes to eliminate them can improve the health of the accounts receivable and increase revenue.

Workers compensation claims typically take longer to process compared to commercial insurance claims. It is crucial that your staff submit clean work comp claims with proper documentation in a timely manner. In this article we will discuss the top reasons for work comp denials and how to stop them.

Deciding who will manage your practice’s revenue cycle is not an easy decision and should not be rushed. The first question you should be asking is, “Should I manage my billing in-house or outsource?”  There is no one-size-fits all answer to this question and it largely depends on your individual practice and staff. Today, we are just going to focus on the benefits of outsourcing your rehab therapy billing.