decisionhealth Newsletters, Part B News - 2002 Issue 7 (July)
Matching fee schedules to payments fetches additional $50,000
Subscribe or sign in to view the full article.
Article Overview
This article explains how a medical group uses fee-schedule matching and payment reconciliation to monitor payer performance and identify missing reimbursement. It is aimed at practice administrators, billing managers, and revenue cycle staff who manage payer contracts, claims payment review, and front-desk registration workflows. The piece also covers related operational practices such as payer identification, use of billing software, and assigning billers by insurer type.
Why This Topic Matters
The article is relevant because small payment discrepancies can add up to significant revenue leakage in a medical practice. It highlights general methods for spotting discrepancies between contracted amounts and actual payments and shows how those findings can support reimbursement recovery.
What You Will Learn
- How practices compare contracted fee schedules with actual payments
- Why daily payment review can help identify underpayments
- How payer identification at registration supports correct claim routing
- How billing workflows may be organized by insurer type
- How practice software can support fee-schedule reconciliation
Who Should Read This
- Practice administrators
- Billing managers
- Revenue cycle staff
- Medical office managers
- CFOs in physician practices
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com