decisionhealth Newsletters, Part B News - 2003 Issue 7 (July)
Try these practice-proven tips to speed payments
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Article Overview
This article reviews practice-level billing and coding workflow strategies reported by medical offices that wanted to accelerate payment turnaround and respond more efficiently to denied claims. It is aimed at billers, coders, office managers, and revenue cycle staff who handle Medicare claims, denial management, and appeals. The discussion focuses on staffing organization, claim submission routines, denial handling, and general appeal support materials rather than on detailed coding policy.
Why This Topic Matters
The article is relevant for practices looking to improve revenue cycle performance by organizing billing responsibilities, reducing avoidable denials, and handling claim problems more quickly.
Article Sections
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Divide the Medicare workload
Describes one practice’s approach to distributing Medicare billing responsibilities across staff and increasing the frequency of claim submission. It also touches on internal review of recurring denial issues and general appeal handling.
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Cut out the middleman
Describes a second practice’s approach to routing coding-related denials to the staff member most familiar with the claims. It also discusses general denial categories, appeal support materials, and separation of duties for demographic corrections.
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Accomplishments that PBN survey
Summarizes survey response categories about practice improvements reported over the prior two years. The section presents broad operational outcomes without detailed coding guidance.
What You Will Learn
- How practices can organize billing staff to handle Medicare claims more efficiently.
- How denial workflow can be assigned to the staff member best positioned to resolve the issue.
- What kinds of revenue cycle improvements practices reported in a survey.
- How practices think about quicker claim submission and faster response to denials.
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice administrators
- Office managers
- A/R managers
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