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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

Ricki Ransom

Ricki Ransom is a Billing Resource Manager for GroupOne Health Source. Her 30 years of healthcare reimbursement experience has led her to the Billing Resource Manager position where she consults on internal and client Accounts Receivables operations and makes suggestions to increase efficiency.

Email: rransom@g1hs.com

Author's Posts

Top 5 Causes of Recurring Claim Errors

by Ricki Ransom on February 4, 2016

Preventing claim errors has always been an ongoing effort for healthcare facilities. Today, more than ever, providers are having a harder time getting paid for their services. In fact, 40% of physicians plan on focusing more on improving the billing and collections process over the next year1. Understanding the top causes of recurring claim errors is a good place to start if you are planning on revamping your RCM processes for better results. 

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Topics: Revenue Cycle Management, Denial Management

Top 5 Challenges Your Practice will Face in 2016

by Ricki Ransom on February 2, 2016

As our list of the top 5 challenges for 2016 underlines, practices will need to navigate some tough obstacles in 2016. These include value based reimbursement, collecting co-pays and deductibles, and administrative burdens on physicians.

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Topics: Practice Management

Should Your Practice Charge No Show Fees?

by Ricki Ransom on January 4, 2016

The estimated no-show rate for medical practices is around 5 to 7%. That may not sound bad, but if you consider each missed visit prevents your practice from collecting an average $25 co-payment and $90 reimbursement from a health plan, one or two no-shows per day adds up to tens of thousands of dollars in lost revenue every year.

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Topics: Revenue Cycle Management, Practice Management

10 Quick Tips for Successful Provider Credentialing

by Ricki Ransom on December 16, 2015

Whether you are adding a new doctor or opening your own practice, you need to start the credentialing process in advance to avoid potential problems. If you ignore the significance of the credentialing process you will experience delayed cash flow, difficult scheduling because of patient restrictions, and repeated phone calls to and from payers.

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Topics: Revenue Cycle Management, Credentialing

Increasing Patient Pay: 5 Questions You Must Ask

by Ricki Ransom on December 14, 2015

Medical billing can be the "elephant in the room" when it comes to dealing with patients. Tricky as it can be, however, it's important to maintain lines of communication with patients, particularly since more patients are paying a larger portion of their medical bills despite more people having insurance.

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Topics: Revenue Cycle Management, Patient Engagement, Self-Pay

How to Revamp Your Revenue Cycle Without Destroying Your Practice

by Ricki Ransom on December 8, 2015

Do you know how your revenue cycle is performing? If I asked you today to run some reports that measure the effectiveness of your revenue cycle, could you do it? A surprising number of doctors and practice managers have trouble answering those questions. Often, practices tick along as usual until a noticeable change in cash flow occurs, and then the staff scrambles to discover the source of the problem.
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Topics: Revenue Cycle Management, Practice Management

The Importance of Preauthorization

by Ricki Ransom on November 16, 2015

In the medical billing world, preauthorization, prior authorization, precertification, and notification are terms that may be used interchangeably to mean that for certain situations and procedures, providers have to contact insurers in advance and obtain a certification number in order to be reimbursed properly (or at all) for services. Insurance verification and insurance authorization services play a vital role in revenue cycle management. In fact, most claim denials happen when a patient is ineligible for services billed by the provider.

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Topics: Revenue Cycle Management

What You Need to Know to Avoid a 2% PQRS Penalty

by Ricki Ransom on November 4, 2015


Healthcare revenue cycle management will undergo changes in coming years as fee-for-service payment models give way to more value-based payment models. The 
Physician Quality Reporting System (PQRS) began in 2007 as an incentive-based reporting program for eligible healthcare providers to report quality data to the Centers for Medicare and Medicaid Services (CMS) through Medicare claims forms.

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Topics: PQRS, Incentive Programs

7 Tips to Help Your Practice with Flu Season

by Ricki Ransom on October 8, 2015

In the United States, flu outbreaks can start in October and last until May. The official "flu season" arrives when certain key indicators rise and remain elevated for several weeks. Though it varies from year to year, flu activity in the US usually peaks from December to February.

By preparing both your practice and your patients for flu season, you can keep your practice running efficiently and make sure your medical billing stays on track, even if you experience a large influx of patients during flu season. Here are 7 tips to help your practice with flu season.

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Topics: Practice Management

Collecting from Patients in a Difficult Economy

by Ricki Ransom on October 2, 2015

Despite the fact that more Americans have health insurance, many still struggle to pay their medical bills due to the increasing number of high deductible health plans.  Collecting from self-pay patients can be also be costly for a medical practice since it typically takes more time and hassle. 

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Topics: Revenue Cycle Management, Patient Engagement, Self-Pay

Is Your Practice Financially Healthy?

by Ricki Ransom on October 1, 2014

As a medical provider your goal is to improve the health of patients. As a care provider you know how important it is to be proactive to prevent healthcare problems down the road. You are responsible for measuring and tracking their success with their healthcare.

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Topics: Revenue Cycle Management

5 Must Know Medical Billing Measures at Your Medical Practice

by Ricki Ransom on April 18, 2014

A successful medical practice needs a variety of reports and metrics to measure performance and make improvements as needed. GroupOne understands that many practices are facing financial challenges due to the changes that continue to take place in the healthcare industry. Monitoring the 5 measures mentioned below will provide insight into your practice’s performance.

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Topics: Revenue Cycle Management, Medical Business, Practice Management