Maintaining Your Clearinghouse & Banking Relationships Our client’s Clearinghouses and Banks play an important role in how medical claims are submitted and how insurance payors provide reimbursement back to the physician group. Clearinghouse services go beyond just claim submission and remediation. Their services can also include eligibility and benefits checking, referral authorization, and claims status
It’s Almost Here! MGMA’s MPE: Financial and Operations Conference We’re headed to Orlando! Join us at the MGMA MPE: Financial and Operations Conference, March 19-21 at the Hyatt Regency Grand Cypress. The conference includes workshops, learning sessions, panel discussions and networking opportunities, along with the MPE Solutions Center for meeting with new business partners. ReMedics
Improving the Revenue Cycle with Workflow Automation Solutions for Departmental or System-Wide Needs As providers and health systems attempt to make improvements in their revenue cycle, not everyone experiences the exact same problems where the need for a solution becomes a priority. From patient registration through bank reconciliation, there are numerous areas in patient finance
Streamlining Post-Merger Integrations When merging two or more practice groups together, there’s a considerable amount of work to be done in negotiating agreements and in working through all of the organizational details. Some may say, however, that after the papers are signed, the real work is just getting started. When it comes to the revenue
Working in a Multi-Submitter, Single Receiver Business Environment For aggregated Physician Practice Groups that operate with business unit autonomy, health insurance payors will often combine payments generated by claims that originated from different divisions. These co-mingled batch files received from the Clearinghouses, require us to split the EDI payments within the Electronic Remittance Advice (ERA)
Coming Soon! MGMA’s Medical Practice Excellence: Financial and Operations Conference We’ll soon be headed to Orlando, Florida for the MGMA Medical Practice Excellence: Financial and Operations Conference. This year’s MPE conference, from March 19th to the 21st, brings the Financial and Operations Teams together for the first time. The 3-day event, being held at the
Augment Your Billing Staff with Outsourced Payment Processing For many physician groups, medical clinics and MSOs, staffing shortages in the business office have contributed to a variety of cash flow obstacles. A/R backlog continues to affect cash management as the volume of unpaid claims and denial rates remain a constant challenge. In a recent article
Managing Cash Flow in a Multi-Vendor Environment For larger practice groups and MSOs, the complexities of a multi-vendor environment can often inhibit efficiency and adversely affect cash flow. This is especially true for organizations with business units using a variety of EMR/Practice Management (PM) Systems and Clearinghouses to capture charges, process claims and receive payor
Case Study Preview: A Collaboration of ENT Practice Groups A new case study published by ReMedics features a collaboration of four ENT Physician Groups that treat over 20,000 patients a year. They currently have over a dozen combined locations, providing comprehensive medical and surgical care. The individual practice groups desired to maintain their business autonomy,
