ED Coding & Reimbursement Alert - 2013 Issue 13
Cash Flow: 5 Hidden Income Opportunities Ease the Pain of Sequestration Cuts
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Article Overview
This article covers practical revenue-cycle topics for physician practices responding to Medicare payment reductions. It discusses office policies, front-desk collection processes, charge capture, claim submission basics, and the use of mid-level providers as part of broader practice management guidance. It is relevant to practice administrators, billers, coders, and compliance staff looking for general ways to reduce avoidable revenue loss.
Why This Topic Matters
The piece addresses how small operational issues can affect reimbursement and cash flow when payment reductions are already squeezing practice revenue. It helps readers identify broad administrative and billing processes that may influence claim payment, denials, and collections.
Article Sections
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Medicare sequestration reduction background
Overview of the payment reduction context and the general reimbursement impact discussed in the article.
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Consider a no-show fee
Discussion of office policy considerations for missed appointments and related patient communication practices.
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Realize your mid-level provider’s potential to boost productivity
General revenue and productivity considerations for incorporating physician assistants and nurse practitioners into a practice.
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If it’s in your log, it should be in your charge sheet
How comparing equipment or system logs with charge records can help identify missed revenue opportunities.
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Avoid resubmitting claims
Broad claim-management topics including claim setup, remittance review, coding edits, and appeal readiness.
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Ensure that your front desk is on the front lines of capturing reimbursement
Front-office processes that support accurate patient intake, insurance verification, and initial collection workflows.
What You Will Learn
- How sequestration-related payment reductions affect Medicare reimbursement in general
- What practice policy areas can influence collections from missed appointments
- How mid-level providers may affect practice productivity and revenue
- Why charge capture review against operational logs matters
- Which front-end claim and intake processes can help reduce preventable denials
- How front-desk workflows contribute to reimbursement capture
Who Should Read This
- Practice administrators
- Medical billers
- Medical coders
- Revenue cycle staff
- Compliance staff
- Physician office managers
Codes Discussed
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