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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

4 Steps to Preventing Medical Claim Denials

by Ricki Ransom on November 21, 2016

It's no secret that the relationship between health care providers and insurance companies is complicated. Healthcare providers are spending a significant amount of time and energy with patients just to find out that an insurance company will fight them on paying for the services provided. Preventing claim denials helps ease the complications but denial management doesn't come so easy to every medical practice.

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Topics: Revenue Cycle Management, Denial Management

What are the Elements of a Highly Efficient Claims Process?

by Toshya Griffin, CPC on August 16, 2016

Because there are typically multiple parties involved in a medical care claim, the process quickly becomes quite complex, which lends itself to a variety of errors caused by both humans and technology. Developing an efficient claims process is crucial to the success of your medical practice, and the process begins before any claims are even submitted.

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Topics: Revenue Cycle Management, Denial Management

5 Common Reasons for Claim Denials

by Ricki Ransom on March 21, 2016

When a patient's insurance claim is denied, not only can your cash flow be affected, the relationship with your patient can be damaged as well. Some claim denials can be successfully appealed, but even when appeals succeed, they can temporarily leave claim status up in the air - something both your practice and your patient would like to avoid.

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Topics: Revenue Cycle Management, Denial Management

Tips for Monitoring and Managing Your Practice's A/R

by Toshya Griffin, CPC on March 7, 2016

Managing accounts receivable (AR) is challenging, and will be even more complicated as more people obtain coverage under high-deductible healthcare plans. Outstanding balances are growing, and collecting these balances is essential when it comes to increasing your practice's cash flow

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Topics: Practice Management, Denial Management

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

Most Commonly Unexpected Denied Procedures

by Kaitlyn Houseman on December 23, 2015

Claim denials are an unpleasant fact of life, and too many of them can dramatically impact your practice's cash flow. Not only do coders have to cope with murky and complicated rules for coding and documentation but at the same time they have the threat of an audit hanging over them, and it's not easy.
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Topics: Revenue Cycle Management, Coding, Denial Management

Can Billing Software Help Minimize Denials?

by Keith Lage on November 6, 2015

Medical providers make most of their revenue by successfully processing claims, and claims mistakes affect the bottom line. Fortunately, many claims are preventable and recoverable. Successfully preventing billing mistakes and appealing a denied or rejected claim often has to do with the quality of the medical billing software a practice uses. 

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Topics: Revenue Cycle Management, Denial Management

5 Things You Must Know About Denied and Rejected Claims

by Toshya Griffin, CPC on July 1, 2015

As the ICD-10 deadline approaches, you might be wondering how your practice is following up on denied and rejected claims. According to CMS, 1 in 5 practices will see Medicare denials double for 6 months after October 1, 2015. Understanding how your practice is following up on denied and rejected claims now is critical to the success of your revenue cycle. Investing time into your denial management strategy can minimize the impact of ICD-10 on your practice.

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Topics: Revenue Cycle Management, Denial Management

CMS Phase 2 Denial Edits Will Begin January 6, 2014

by Kaitlyn Houseman on November 14, 2013

Several years ago, CMS mandated that payment for referral services would only be paid if the referring provider were properly enrolled in Medicare.  Due to industry pressure, the effective date for this policy was continually delayed to allow providers sufficient time to meet the enrollment criteria.  According to the following announcement, CMS intends to instruct their Contractors to turn on the ordering and referring edits on January 6, 2014.  

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Topics: Revenue Cycle Management, Medical Business, Practice Management, CMS, Coding, Denial Management

Are You Preventing Denials?

by Kaitlyn Houseman on November 7, 2013

denied_stamp-1.jpgIncreased demand for healthcare services as a result of an aging U.S. population should make for a successful and profitable medical practice.  However, improving a practice’s cash flow has become anything but easy in today’s changing reimbursement environment. 

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Topics: Revenue Cycle Management, Denial Management

There's an ICD-10 Code For That?

by Kaitlyn Houseman on September 29, 2013

Burn Due to Water Skis on Fire? - There's an ICD-10 Code For That!

Struck by a Turtle? Walked Into a Lamppost? Hurt While Crocheting? Burn Due to Water Skis on Fire? – There’s a Code for that.

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Topics: Practice Management, CMS, ICD-10, Coding, Denial Management

Medical Claims Payments via EFT: No Brainer

by Keith Lage on August 16, 2012

doctor_money.pngElectronic Funds Transfer (EFT) is a payment method utilizing electronic means (as contrasted with paper checks) to transfer monies between parties. EFT payments can be nearly instantaneous (avoiding postal delays) and reduce personnel costs associated with depositing payments. Many practices already use EFT to transfer employees’ wages electronically into each employee’s designated bank account, reducing administrative payroll expenses.

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Topics: Revenue Cycle Management, Medical Business, Denial Management

eClinicalWorks Video Demonstration - PM and Billing Tips

by Keith Lage on September 19, 2011

    Discover h

In depth demo of eClinicalWorks’s practice management features with EHR billing tips from GroupOne's Dianne Swanson.

Dianne Swanson is a highly regarded medical practice consultant.  She has consulted with practices nationwide, focusing on maximizing eClinicalWorks revenue cycle management functions.  As president of GroupOne Health Source, Inc.  Dianne's revenue cycle management experience has helped hundreds of practices overcome eCW RCM challenges such as declining reimbursement, low cash flow, and lack of EHR optimization. GroupOne is a “Gold Certified” eClinicalWorks implementation and sales partner that specializes in medical billing services on the eClinicalWorks system and provides billing services to hundreds of eClinicalWorks users.

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Topics: Revenue Cycle Management, eClinicalWorks, GroupOne, EHR, Practice Management, Denial Management

4 Tips for a Strong Post-Recession Medical Practice

by Kaitlyn Houseman on August 22, 2011

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Topics: Revenue Cycle Management, eClinicalWorks, EHR, Denial Management

7 Tips to Maximize Your Collections on an EHR

by Kaitlyn Houseman on June 20, 2011

by GroupOne’s EMR Billing Experts

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Topics: Revenue Cycle Management, eClinicalWorks, EHR, Denial Management

Benefit of Outsourced Medical Billing: Increased Cash Flow

by Kaitlyn Houseman on May 19, 2011

Medical practices seeking additional revenue should consider partnering with a professional medical billing firm.

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Topics: Revenue Cycle Management, EHR, Denial Management

Half of Insurance Claims Appeals Are Successful

by Kaitlyn Houseman on March 17, 2011

As many as half of all health insurance claim rejection appeals are successful, according to a Government Accountability Office report that studied insurer rejection rates, the AP/Washington Post reports.

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Topics: Revenue Cycle Management, Denial Management