April 29, 2024
by John Gwin

Medical Billing Outsourcing: The Pros & Cons

Medical Billing Outsourcing: The Pros & Cons Medical billing – a very key component of practice management – is complex, and we all know the headaches of rejected claims, ensuring compliance, and the administrative strain that it puts on our practices.  Outsourcing medical billing may be just the thing you need to improve your practice, […]

December 13, 2022
by Admin

Top 5 Things a Breast Reconstruction Patient Should Know/Do About Their Insurance  Coverage:

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 […]

October 31, 2022
by Admin


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 […]

January 11, 2022
by Admin

What is Medical Billing and Coding? Your Questions Answered

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.

December 30, 2021
by Admin

How to Start a Dermatology Practice

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 […]

October 29, 2021
by Admin

How to Handle Authorizations in the Medical Billing Process

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 […]

June 23, 2021
by Admin

4 Common Problems With Medical Billing (And How to Solve Them)

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 […]

February 28, 2019
by Admin

What is Overpayment in Medical Billing? Here’s How to Recover

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.

December 17, 2018
by Admin

5 Reasons to Hire A Medical Practice Management Consultant

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.

August 30, 2018
by Admin

5 Tips for Improving Medical Office Efficiency

Improving medical office efficiency improves patient satisfaction and increases your practice’s bottom line. This list includes the top five ways to reform patient flow and boost revenue.