Many practices around the country use a clearinghouse or want to incorporate one into their workflow. While clearinghouses are commonplace today, I am still often asked what practices should look for in a good clearinghouse and how they know a clearinghouse will benefit their practice. So how should you evaluate your current or prospective clearinghouse?

Evaluating and selecting the right clearinghouse is the first step to proactively managing your revenue cycle and maximizing profits. As the demand for physician services rises, profitability levels don’t always increase proportionately, which often causes the revenue cycle to suffer. Knowing what to look for when partnering with a clearinghouse can help you ensure your practice receives full, timely reimbursements.

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The New Year always brings new challenges for healthcare organizations, and 2012 is no exception. Case-in-point: The transition to 5010 is already testing the financial health of practices—and that only took effect on January 1.

While much of the 5010 transition seems to have progressed smoothly, it’s imperative that practices across the nation carefully monitor their cash flow and bottom line throughout the year to make sure that this trend continues. Spikes in rejections and denials, for instance, can be the first warning signs of problems—and may or may not be related to the 5010 transition.

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Thank you to everyone who joined us on November 3 for our latest webinar, Increase Revenue – Take Your Appeals to the Next Level. During the one-hour event, industry expert  Tammy Tipton, president of Appeal Solutions, the leading denial management training and resources company, discussed how to easily customize your appeal letters for Level II appeals; use carrier appeal form letters most effectively; and address poor quality appeal review.

To learn more about how your practice can improve your appeal letters process and improve your revenue cycle, click here to download the webinar recording.

This program meets AAPC guidelines for 1.0 Core A or 1.0 CPCO specialty CEUs. On Demand product requires successful completion of a Post Test for continuing education units.

Are your appeals letters designed for maximum mileage? Medical organizations send detailed, persuasive appeal letters every day. Despite these well-written efforts, many appeal letters result in “Denial Upheld.”  This is not the end of the road, but rather a case for Level II appeals.

Join us on Thursday, November 3 at 1:00 pm EDT, for a free webinar: Increase Revenue – Take Your Appeals to the Next Level. Register Now.

During this hour, you’ll hear industry expert, Tammy Tipton, president of Appeal Solutions, the leading denial management training and resources company, discuss how to:

• Easily customize your appeal letters for Level II appeals – ensure that none of your higher level appeals are rejected due to “no new information.”
• Use carrier appeal form letters most effectively – payer-specific appeal customizations can make a significant difference.
• Address poor quality appeal review – you have the right to request a review by higher level personnel.

Don’t let a denied appeal become a write-off. Take your appeals to the next level.

Participants can earn 1.0 Continuing Education Unit (CEU) from the American Academy of Professional Coders (AAPC) by attending.

Register Now. 

Although the year is still young, 2010 promises to be a year of challenges. The economic news remains unstable and, like all sectors of American business and industry, healthcare will need to adopt strategies to protect its financial health.

Many pundits predict that the first and second quarters may be particularly tight for physician groups and other providers. Patients’ health plan benefits will reset to zero, and they may be pressed to meet their co-pays and deductibles as they, too, struggle with the economic downturn.

Here are five strategies you might consider implementing to help you manage through tight times: Read More ›