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 […]

So…you’re an MD, a medical biller without coding experience, you work at a private practice and have had this terrifying task voluntold to you, or you’ve married into this conundrum and operate as forced labor… Bad news first…I can’t make you a coder…not even a good one…it takes experience (the certification is a +). Good […]

What’s A Medical Billing…AKA How Does Medical Billing Work? Medical billing isn’t sexy. In fact, it’s complicated and confusing…just like your ex. We wish we could just loan you John (seriously we need a few days away from him…volunteers?)…but hey, billing is a necessary evil in the medical industry today…and I guess job security? Either […]

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 […]

What Is Medical Billing? 101: Medical billing is the process of submitting medical insurance claims for review and payment based on established contractual standards. AKA we shake down the insurance companies (the baddies) to get your doctor(s) paid their due! Medical bills are submitted for even the smallest of items or services. Like that $10 […]

Medical billing is an essential service that improves client efficiency. From inputting the initial records to the final payment, here’s a breakdown of the process.

Maintaining current records is a key factor in reducing expenses and boosting your bottom line. An efficient bookkeeper can increase your cash flow and reduce cost by leveraging vendor relationships.

This begs the question: is hiring a dedicated medical bookkeeper the right move for you?

Your practice sees it happen daily: would-be new patients call or stop by your practice, hoping to set an appointment, having been referred to you by a friend or a loved one.  They’ve heard you’re the best in town, and are ready to set that initial consultation. At the last moment, they discover your practice is not in network for their insurance. Yet another prospective patient is shown the door.  

What exactly does it mean to be ‘in network’?  What is credentialing in medical billing, anyway, and do physicians complete this process?  In this post, we’ll deep dive into the topic of credentialing to illuminate confusing areas and provide information vital to submitting your applications and negotiating your next partnership contract.

Businesses need a solid accounting system and cash controls to succeed. While medical practices differ from traditional businesses in many ways, a practice with unbalanced books or without an eye on its books at all, will fail.

For many practice owners, accounting can be an enormous hassle. Generating financial reports and balancing books detracts time and money from medical services. Why should aging receivables and late payments prevent you from providing quality patient care?

Does your practice’s cash flow suffer because of high accounts receivable? If so, you are not alone – many practices experience revenue delay for the same reason. Below, we explore some of the most common problems – and solutions – in managing accounts receivable.