Medical Practice Management Resources

14 Jun 8 Ways to Improve Patient Collections

Posted at 05:28h in Blog by siteadmin 0 Comments

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You didn’t go to medical school to bill healthcare claims. Your skills are best used caring for patients, treating illnesses, and performing surgeries. However, your practice must have money to run smoothly. Improving patient collections is what MPMR does best! Here are 8 ways to...

14 Jun What is Value-Based Reimbursement?

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A Value-Based Payment Modifier, also called a Value Modifier, provide for differential payment to a provider, or group of physicians, under the Medicare Physician Fee Schedule (PFS). The Value Modifier is based on the quality of care given compared to the cost of care during...

14 Jun Making Electronic Claims More Efficient

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The Health Insurance Portability and Accountability Act mandated the use of standardized electronic claims to improve the efficiency of a physicians’ healthcare claims submissions. The standardized electronic claim has been widely adopted in the industry, with more than 92% of health plans and providers using...

14 Jun The Issue of Overpayments and How to Handle Them

Posted at 05:16h in Blog by siteadmin 0 Comments

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When extra money shows up when you are doing the laundry, it’s an unexpected good thing. You may not always remember how it got there, but it is yours now that you found it. However, when extra money comes from billing, and you have no...

14 Jun Are your Claims Downcoded? Find Out how to Collect What you are Due

Posted at 05:14h in Blog by siteadmin 0 Comments

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The concern among many physicians is timely payment, which arises from payer adopted reimbursement polices – both formal and informal. If payers are “downcoding” your claims to save money, the physician may suffer payment delays, lost revenue, and more. Many insurers downcode claims because they...

14 Jun Justice Department False Claims Act – Are You at Risk?

Posted at 05:10h in Blog by siteadmin 0 Comments

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As part of the False Claims Act lawsuit filed against a major insurance company, UnitedHealth Group, in 2011, the federal government is now also investigating other companies. Cigna, Bravo Health, Health net, Humana, and Aetna are also being investigated. The Justice Department announced that it would...