Revenue Cycle Management is the process that manages claims processing, payment and revenue generation. Why is this important? Is your office doing this currently?
Hopefully the person who does your billing and coding knows that a modifier is. Hopefully you know what a modifier is. That two digit code after the performed procedure can make the difference between payment and no payment.
It is unfortunate, but some clients come to us because they are stuck in a contract but the billing service is either inadequate or not being provided. One such client, let's call them Trusted Providers, was in a billing contract for two years and charged a minimum balance each month. The billing service was owned by a group that turned out to have no experience with medical billing, or any medical background besides starting up various medical billing companies.
1) Being unaware of referral requirements or visit and/or dollar limits
Insurance can be complicated and sometimes patients don't really understand their plans. To prevent that from becoming a billing issue, Midwest Medical Milling performs a benefit investigation on each patient and speaks to a live representative (where allowed) to get specific benefits in real time.
Here's some of the most common questions we get from physicians considering a new medical billing service.