The bane of every physician's practice is when payers deny claims. There are numerous reasons why payers deny claims, with the predominant reason being a paperwork error. Other reasons include misunderstanding on the part of the insurance company, the physician or the patient. There are four key elements in appealing claims that have been denied.
In the News
Monday, November 11, 2018
Like all service providers, doctors seek to offer their patients the best possible care while holding down costs. But how can physicians tell whether they're meeting this goal? A growing patient list and a healthy bottom line are strong indicators. However, the only sure way to tell if your patients are satisfied is to ask them.
Thursday, November 11, 2018
Patients come to your practice for quality medical care and the government wants to ensure that everyone has equal access to your offices. The federal Americans With Disabilities Act (ADA) requires that patients, their family members, and vendors with disabilities have the same access rights as able-bodied people. And access issues include both physical and communication barriers.
Physicians know they have a responsibility to provide health care to patients with mental or physical infirmities. But they may not know about the legal obligation to accommodate people with disabilities when it comes to hiring and other practices.
As you know, medical practitioners are subject to a federal law that makes it a felony to influence the referral of federal health care business, including Medicare and Medicaid.
Thursday, September 9, 2018
Awkward. That's likely the word that comes to mind when you or members of your staff think about confronting patients who have a habit of arriving late -- or not at all. Discussing a patient's penchant for no-shows takes a bit of fancy footwork at the very least. Mishandle the situation and you may lose a loyal patient.
Wednesday, September 9, 2018
With the increase in health plans requiring members to pay all or part of their office visits, practices are faced with the challenge of asking patients for full payment. This can be upsetting for the patients and uncomfortable for the staff who deal with them.
There was once a time when a retiring doctor could easily sell a thriving practice to a hospital or practice management company. These days, many practice management firms are out of business and hospitals are more likely to be selling than buying.
When considering joining or merging with a medical practice, you need to perform a due diligence investigation into the operations of the practice, as well as the finances.
For most small business owners, closing up shop is relatively simple -- perhaps they take down their signs, get rid of inventory and turn the lights off. But for a health care practitioner closing a practice, the issues are more complex.