American Health Care Act 2017

The Republicans did it, they put out their “repeal” of the Affordable Care Act. Forty-nine days into the Trump administration the American Health Care Act was unveiled. I could launch into rhetoric about how flawed the bill is or how keeping key aspects of the ACA isn’t truly repealing it. Instead, I reflect on a [...]

By |2020-04-28T12:42:11-05:00March 11th, 2017|Finance, Healthcare, Small Business|Comments Off on American Health Care Act 2017

Auditing Adjustment Codes

What do adjustment codes do on the payers’ explanations of benefits? These codes tell the payee – the provider why all the money charged was not collected. Perhaps it is a contractual adjustment (difference between what was charged and what the contracted rate with the payer is). Perhaps there is patient liability. There might be [...]

By |2020-04-28T12:42:11-05:00February 26th, 2017|Business, Finance, Healthcare|Comments Off on Auditing Adjustment Codes

Fair Pay – in Medicine

What is the first thing that comes to mind when you think about fair pay? Minimum wage? The pay gap between men and women? What about a profession that is reimbursed derived from political processes trying to keep costs under control? A profession that requires at least eight years before using your skills? Education costs soaring [...]

By |2020-04-28T12:42:11-05:00February 12th, 2017|Business, Finance, Governments, Healthcare|Comments Off on Fair Pay – in Medicine

Personal Side of Broken Health Care

One thing all citizens of our divided country can agree on is the state of our healthcare system is broken. As a patient and a "consumer" of health care services, my out of pocket expense has increased consistently over the last decade at a pace far exceeding the cost of living index. I am making [...]

By |2020-04-28T12:42:11-05:00January 27th, 2017|Healthcare, Small Business|Comments Off on Personal Side of Broken Health Care

The Coding Commodity

The Merriam-Webster dictionary defines commodity as “something useful or valued.” In healthcare, coding is the most important yet silent commodity in the revenue cycle. With over 68,000 medical diagnosis codes available through ICD-10 and over 87,000 procedures codes for providers to comb through, coding specialists are essential to get paid. Though electronic health records were [...]

By |2020-04-28T12:42:11-05:00January 22nd, 2017|Business, Healthcare, Medical|Comments Off on The Coding Commodity

Are You Eligible?

Calls come in daily for new appointments. Some calls are existing patients and some are new patients. There may be patients waiting to check in. How fast can you get the patient an appointment and get them off the phone? Is this the correct way to measure customer service? Patients might become impatient with wait [...]

By |2017-01-07T16:17:39-06:00January 7th, 2017|Healthcare, Management, Small Business|Comments Off on Are You Eligible?

Emotional Contracting

Yawn. The most BORING topic – yet one of the most important for medical providers. With thirteen plus years in medical accounting/patient billing, I know this is a commonly overlooked detail. Do you know all the payers with whom you are contracted? Do you know all the payers who pay you? How often is this reviewed? [...]

By |2020-04-28T12:42:11-05:00January 2nd, 2017|Business, Finance, Healthcare|Comments Off on Emotional Contracting

Prepare

I have heard a lot of people around me say they are “preparing” or getting ready for the season. Whether it is the weather or a religious season preparation seems to be in the air. Thanksgiving is finished and the turkeys and fixings were all prepared and devoured, time to prepare for the last calendar [...]

By |2020-04-28T12:42:11-05:00November 27th, 2016|Business, Finance, Healthcare|Comments Off on Prepare

Medical Payer Mix Mess

How many of us have been told by our financial planners we need to diversify our portfolios? As a business you need to do the same thing, except looking at who you are billing. Medical practices already have one of the most complex payment systems of any industry (except maybe the US Treasury for tax [...]

By |2020-04-28T12:42:11-05:00October 15th, 2016|Finance, Healthcare, Small Business|Comments Off on Medical Payer Mix Mess

Pay Transparency

How many times have you come out a salary negotiation when accepting a new job wondering if you are really being paid fairly? What happens when you know what everyone around you is making? Survey says…you are more satisfied with your job. As a manager having a discussion with an employee about their wage might [...]

By |2016-10-09T18:26:43-05:00October 9th, 2016|Healthcare, Human Resources, Small Business|Comments Off on Pay Transparency