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Best Practice Strategies to Optimize Revenue
Maria Mason Medical Group Business Services Manager, Client Services and Analysis MGBS Billing Brown Bag, November 16, 2006
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Review of Patient Registration
Accurate IMF Plan Process for Obtaining Benefits and Authorizations Communications Regarding Arrival Times, Records, Authorizations, Co-Pay and Co-Insurance
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Review and Monitor Front Desk Processes
Well Defined Patient Flow Process Check-In and Check-Out Co-pay, Co-Insurance and Small Balance Collections Ways to Secure Payment – Credit Cards, Pre-Payment, Holding of ID Patient Histories Completed in the Waiting Room Accuracy of Face Sheets, Copies of Insurance Cards, Updating in IDX of Changes / Revisions
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Review of Encounter Forms
Update Regularly to Allow MDs to Capture all Charges MDs to Complete the Encounter Form
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Review and Monitor Charge Capture and Batching Processes
Implement goals to minimize charge lag Identify Problem Areas Reconcile Services to Charges Monitor to Ensure Compliance
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Regular Review of Monthly IDX Reports
AR Analysis Rejections Periodic Open A/R Periodic Reimbursement Analysis on Top Procedures
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Regular Review and Audits of Coding and Compliance
Department Compliance Plan CPC Trained Staff Review of MD Coding – PDS Random Review of Charts Feedback to MDs, Training Development of Templates for Dictations
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Network and Participate in Meetings w/Other Revenue Staff
Resources That You Might Otherwise Not Know Were Available Pilots and Other Opportunities Conferences Related to Your Specialty
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Other Potential Areas to Optimize Revenue
Coding Units Prolonged Services and Time Based Coding Where Appropriate New Codes
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