Billing Tag

20 Mar Why Pediatric Practices Outsource Their Billing and Why You Should Too

Posted at 20:53h in Financial, RCM + Billing by Darice Warren

Very few things about medical billing are straightforward, but it’s especially true in pediatrics. Proper coding, modifiers, and changes in Medicaid rules and payer guidelines can turn a simple office visit into a minefield of dependencies. Add staffing shortages and the challenge of finding qualified medical billers to the mix, and it further exacerbates the stress of billing for pediatric practices. When it comes to running a pediatric practice, the days of “one size fits all” are over. You can no longer thrive and work efficiently using a generic, non-specialty-specific EHR, and the same is true for billing and revenue cycle...

20 Feb The Best KPIs to Measure for Pediatric Success

Posted at 14:41h in Financial, RCM + Billing, Reporting, Staying Independent by Darice Warren

KPIs help practices achieve their goals by establishing a concrete way to measure their progress. If you don’t track your progress, it’s hard to know which aspects of your practice require improvement. ...

06 Dec Grow your Pediatric Practice Revenue by Outsourcing your Revenue Cycle Management

Posted at 15:11h in Growing Your Practice, RCM + Billing by Elizabeth Feliciano

The ability to survive as an independent pediatric practice is contingent on being able to find new sources of revenue, even as reimbursements continue to shrink. But with a tight labor market and the challenges that come with finding skilled staff, it can be a tall order to fill....

27 Sep Three Key Factors to Consider for Outsourced Revenue Cycle Management Success

Posted at 12:47h in Financial, RCM + Billing by Kate Lunt

Revenue cycle management is too significant to hand over to just anyone. You need a safe, trusted partner and expert who communicates well and produces results. ...

A woman working at a desk with a papers and a computer.

02 Feb Updating Your Pediatric Practice Fee Schedule

Posted at 14:45h in Financial, Growing Your Practice, RCM + Billing, Reporting, Staying Independent by Office Practicum

If a pediatric practice has some extra down time, pause and remember the financial health of your practice starts with having an appropriate fee schedule. While contractually the payers determine how much they are going to pay you for each service you provide, it starts with how much you charge. Scheduled Processes and Procedures At a minimum, at the beginning of the year, your practice should have a scheduled process and procedure for updating your fee schedule so you can be sure you are not leaving money on the table (and in the insurance company’s pocket.) The AAP has resources for pediatricians...

15 Dec Always Include These 3 Data Analytics in Your Billing Reports

Posted at 19:23h in Financial, RCM + Billing, Reporting by Rebecca Nace, RHIA

As a pediatrician, your primary goal is to deliver the best possible healthcare to your patients. Just as it's important for your patients to have regular check-ups as part of their wellness, it's also critical to regularly evaluate your pediatric office's financial health. But how? There are some key analytics that you can consistently examine to stay on top of your practice's financial well-being, while successfully planning for the future. Whether your billing is done in-house or outsourced, here are 3 data analytics you should always have included in your monthly and yearly billing reports. 1. Number of Days in Accounts Receivable (A/R) You...

16 Oct 5 Tips for Deciding How to Handle Billing at Your Startup Pediatric Practice

Posted at 03:15h in Growing Your Practice, RCM + Billing, Staying Independent by Lindsey Thomas

You’ve decided you’re ready to spread your entrepreneurial wings. You're going to open your own pediatric practice. While it’s an exciting time, it’s also busy with planning. You’ve got a checklist full of items like credentialing providers with payers, securing financing, choosing a location, purchasing technology, hiring staff, ordering supplies and furniture, and preparing forms and processes. Another important area to tackle before officially launching your new practice? Billing. It's one of the most critical elements of your business. Without a good billing system, you won't get paid appropriately. And a practice that's not profitable will quickly fold in the ever-changing world...

A mom making a payment at a pediatric practice.

30 Jul Decrease the Expense of Patient Statements by Increasing Upfront Payments

Posted at 17:58h in Growing Your Practice, RCM + Billing, Staying Independent by Rebecca Nace, RHIA

A frazzled mom walks into your pediatric clinic. She approaches the check-in desk, and your receptionist notices dark circles below wet eyes, red from crying, possibly even during the drive to the office. The screaming toddler on the mom’s hip is not so interested in disguising his anguish. He wails in pain as he tugs on his ear, not afraid to let the tears fall freely. Even those staff members behind the check-in desk, standing at the hallway scale, or walking a patient to an exam room can hear the little guy. After checking in the fidgety little boy, the receptionist sees...

09 Jul Healthcare’s Roadmap for Payment Assurance: It’s All About Where Your Data’s Stored

Posted at 15:52h in Growing Your Practice, Reporting, Staying Independent by Guest Blog

If your payment data is currently dispersed across multiple systems, you might hit a roadblock in your plan for payment assurance. What does your roadmap for payment assurance look like? Use these three checkpoints to analyze where your data might be failing you and how you can improve collection processes by pulling payment data from one reliable source. Checkpoint #1: Talk to Your Staff About Their Processes to Collect Collecting patient payments is time-consuming. Do you know how much time your staff spends to collect a single payment? Ask your staff to walk you through their daily process to collect, reconcile and post...

Home Blog Webinars Resources Sign Up