Medical Billing & Credentialing News

  Common Revenue Cycle Management Mistakes Is Your Revenue Cycle Management in Top-Notch Condition? Let’s face it, we all make mistakes, even as veterans in  revenue cycle management . Sometimes, though, our biggest mistakes are the ones right under our noses – the ones we simply don’t identify as mistakes because we’ve been making them for so long. Plenty has changed in the revenue cycle. With the deployment of ICD-10, the arrival of accountable care, the growing volume of patient self-pay and the changing payment habits of those patients, we need to continuously upgrade our revenue cycle processes to accommodate these changes.  We’d like to share with you what has been recognized as progress-halting revenue cycle mistakes you may be making presently and how to fix them. You Rely on Current Staffing Levels to Handle the Increased Volume of A/R Activity We know how challenging it is to find the right people with the right skills to keep your revenue cycle humming. There a...

  Behavioral Health Billing Case Study Type of Practice:  Behavioral Health Group The Challenge: A successful  behavioral health   practice approached  Medwave  to manage their billing process. Up until now, they were performing their own billing in-house using various staff members who had had some formal training. However, they were finding that these staff members were spending an inordinate amount of time with billing, insurance regulations and collections than they were with patients. The process was ugly and it wasn’t streamlined very well. Additionally, they wanted us to address claim-related glitches that included a lack of follow-up on claims, delays due to coding errors, issues causing claim underpayments or no payments and claims denials due to lack of  prior authorizations . The Response: At the onset, our billing experts followed up on several of the client’s unpaid, underpaid and  denied medical claims . Next, we quickly fixed the cl...