1. Women’s Health Rights and Cancer Act – you are protected folks. This is a Federal Mandate. So all the games insurance companies play hold even less water here. You are protected for reconstruction (or not) at ALL STAGES including the contralateral breast. The language of the mandate doesn’t answer every question or address every […]
THE QUESTION: I HAVE A PATIENT IN NEED OF SURGERY WITH WORKMAN’S COMP COVERAGE (WC). WILL I GET COMPENSATED FOR THIS? SHOULD I CONTINUE TO TAKE WC? THE ANSWER Will you be compensated? The short answer is yes. WC is not a network-based coverage plan. So long as they has a claim number from her […]
Medical billing and coding are essential to running a practice. These systems impact patient safety and accounts receivable, as well as operations and efficiency. If not optimized, coding can directly affect your bottom line.
This blog explores common medical billing and coding challenges and provides suggestions for improvement.
You worked through years of medical school and residency. After months of studying and stress, you’re a state-licensed, board-certified dermatologist…maybe you’ve got a bit of debt to deal with…now what? 🤷♂️ You could look for a position in an existing medical group or practice, because hey that’s got to be simpler/easier right? After a bit […]
Here’s a question for you: A doctor tells a patient they need to schedule a procedure. Whose responsibility is it to get that procedure pre-approved by insurance? Did you guess the MD? You’re technically wrong, but in all actuality you are correct. The patient is actually technically responsible for ensuring prior notification and approval are […]
Why Is Medical Billing So Complex? Medical billing sucks because insurance companies suck. It is just that simple. In fact, the entire economic model of insurance sucks: Consumer pays a Premium. Insurance Company prices said premium ideally based on the probability of events occurring in the pool of Consumers. Consumers are then paid out from […]
When a provider receives payment over the amount payable for a service rendered, they have received an overpayment.
While overpayment happens in every practice, it creates problems when left unaddressed. Insurance companies typically issue the overpayment, but overpayment can sometimes come from the patient via excessive co-pay.
Operating a medical practice is more than just practicing medicine. Whether you’re a veteran physician with an established practice, or a novice practitioner branching out for the first time, the business side of your medical office can be overwhelming. You have two full time jobs…business owner and doctor.
You don’t have to do it alone. Medical practice management consulting helps independent practices achieve their goals without sacrificing patient care quality. They guide you through the business side of practicing medicine.
Here are 5 benefits you can expect from a practice management consultant.