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ARTICLES OF INTEREST |
“Entrusting your medical practice processes to unqualified staff is an irresponsible business practice.”
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MGMA Connexion, Sep 2005 by Simms, Leigh Ann
It is
imperative to outsource your medical billing to Pacific Practice Management, a qualified agency!
This MGMA article
declares that
Medical practices… |
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...“Fail to invest adequate resources to secure financial success and legal compliance” |
...“Purchase expensive hardware and software to fix medical billing problems” |
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Outsourcing your medical billing to Pacific Practice Management will… |
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-- “Enhance performance and quality control”
-- “Allow added control via concise reporting and meaningful feedback”
-- Appear as “an extension of your care” |
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See why this MGMA article says it takes more than throwing money at your A/R to correct the problem!
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DID YOU KNOW? |
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MEDICARE NEWS |
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Starting May 23, 2005, all health care providers can apply for their National Provider Identifier (NPI). The NPI will replace health care provider identifiers in use today in standard health care transactions. All Health Insurance Portability and Accountability Act (HIPAA) covered entities except small health plans must begin using the NPI on May 23, 2007! We recommend applying now to work out the bugs in claims submissions.
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Top Ten Denial Indicators
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(Tie) Invalid insurance information & Invalid Patient Demographic information
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Documentation needed/missing
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Provider information incorrect/invalid
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Invalid diagnosis code(s)
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Invalid procedure code(s)
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(Tie) Modifier(s) missing/incorrect & Service(s) not authorized
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Referring MD information invalid/missing
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Place of service invalid
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Invalid date of service
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Secondary insurance information incorrect.
It is good to establish a tracking system to determine what types of denials your practice is experiencing. Please ensure that you establish categories to help you identify the most problem areas for current and future use.
View our Effective Collections Protocol Checklist! |
