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From Appointments to Collections: The Best Practices for your Practice How to Increase Your Practice Revenues and Gain Control Presented by: Brian Foster Director Avisena Inc. [email_address]
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Billing and Collections Maturity Levels: Where is Your Practice? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Physician Revenue Cycle: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object]
Front-Desk Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Over-The-Counter Payments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Charge Capture & Rules Systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Claims Submission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Subsequent Appointments, Recalls and Orders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hospital Rounds ,[object Object],[object Object],[object Object],[object Object]
Coding and Forms Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Billing Key Performance Indicators ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object]
Remittance Processing/Payment Posting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Denial Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reimbursement/Denial Management Denials and ignored/lost claims should be sorted by HIPAA-compliant code and routed to collectors based on skill if possible. Ability to sort, filter denials using multiple variables. Best Practices: If you can’t track denials, you can’t measure them. If you can’t measure them, you can’t improve collections performance. Do you know how many of each denial code? Do you know billed vs. value? Do you know how many days it takes to resubmit a denied claim? You should. Ability to see which denials have been worked vs. which have not.
No-Response Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Underpayments and Down-Coding Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Collections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Refunds ,[object Object],[object Object],[object Object],[object Object],[object Object]
Collection KPI’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object]
General Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key Performance Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Minimum Management Requirements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Presentation - Best Practices

  • 1. From Appointments to Collections: The Best Practices for your Practice How to Increase Your Practice Revenues and Gain Control Presented by: Brian Foster Director Avisena Inc. [email_address]
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  • 18. Reimbursement/Denial Management Denials and ignored/lost claims should be sorted by HIPAA-compliant code and routed to collectors based on skill if possible. Ability to sort, filter denials using multiple variables. Best Practices: If you can’t track denials, you can’t measure them. If you can’t measure them, you can’t improve collections performance. Do you know how many of each denial code? Do you know billed vs. value? Do you know how many days it takes to resubmit a denied claim? You should. Ability to see which denials have been worked vs. which have not.
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