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1. A Few Ways Physicians Can
Tweak Their Revenue Cycle
To Get The Most Out Of It !
Presented by,
MedicalBillingStar

2. Revenue Cycle Management ; Are
you doing it right ?
 Are you earning what you deserve ?
 Do you have a financial plan for the future ?
 Are you optimizing every process of your RCM to
get the best results ?
It is okay if you’ve answered in the negative. Here
are a few simple ways you can manage and
leverage your revenue cycle.

3. Break it down into bite sized
pieces !
Categorize your revenue cycle into
front-end.
middle –end.
back end.
Your revenue cycle begins as soon as your
patient walks into your practice.

4. Front End RCM Includes :
Appointment scheduling
Copays and deductibles
Insurance verification
And optimization of tools used for front end
management.

5. Have you missed an appointment
off –late ?
Structure your appointment scheduling today to avoid
revenue losses

6.  If your practice handles a diverse patient
population, categorize and group them. And meet them on
a specific day.
 Set metrics for the number of days a patient can wait to be
seen and the number of hours you want to work .
 Clearly demarcate the number of hours you spend in
office.

7. Don’t leave money on the desk !
 Copays can account for more than 20% of revenue in an
office.
 Call you patients prior to the appointment and inform
them about their financial responsibilities.
 Offer multiple payment options.

8. Have you performed a thorough
check?
 50% of claims are rejected due to inefficient insurance
eligibility checks.
 Perform a thorough eligibility check prior to a patient’s visit.
 Perform HIPAA compliancy audits to verify your
transactions are in line with HIPAA norms.

9. The Mid Point
Mid level RCM includes :
 Charge capture.
 Maintenance of CDM (Charge Description Master).
 Health information management .

10. Enter exact charges...
 Create and utilize dashboards to ensure services and
supply charges are accurately entered.
 Integrate your clinical documentation with your billing
system to avoid time consuming workarounds.

11. Maintaining your CDM…
 Update your Charge Description Master regularly.
 Ensure your billers, research and update coding,
compliance and cost information.

12. Health information management the key
to avoid denied claims !
 It is necessary that clinical care is documented accurately
and regularly to support claims.
 Verify regularly that the codification of patient care is in
compliance with monetary and regulatory guidelines.
 Implement tools to automate HIM and facilitate automated
edits and diagnosis related grouping to save on time.

13. Backend revenue cycle
management: Where all the action
takes place !
Backend RCM includes…
 Billing
 Claims processing
 Adjustment posting
 AR calling
 Denial Management

14. This is where you need to focus
on revenue maximization !
 Rule based editing of claims can reduce denial and
pending AR.
 Cross verified payment posting will give you a clear
reflection of your collections.
 Implement quality monitoring and standards to ensure a
streamlined AR calling process.

15.  Encourage bidirectional communication between the
payer and your biller.
 Have an effective denial management in place.
 Arrange denied claims into buckets and prioritize
according to the value of the claim and the days in AR.

16. Want expert help ? Call
MedicalBillingStar !
 We have a specialized team available 24/7 for revenue
maximization services.
 Have sophisticated claim editing tools, extensive
contract management system and denial management
tools to optimize and automate your revenue cycle.
 Send detailed financial reports and dashboards .

17. Thank you !
Drop your queries on
Revenue Cycle Maximization Services
and
Avail Free Annual Fiscal Practice Check up by dialing toll
free @ 1-877-272-1572
Or visit us http://www.medicalbillingstar.com