E/M Coding Alert - 2015 Issue 9
Part B Revenue Booster: 10 Tips Ensure You Aren't Losing Thousands This Year
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Article Overview
This article is aimed at medical practice administrators, billers, coders, and front-desk staff who want to reduce missed reimbursement and improve cash flow. It covers general revenue-cycle topics such as patient responsibility communication, insurance verification, SNF-related billing considerations, charge capture, component billing, locum tenens claims handling, copay collection, patient refund/payment follow-up, and ICD-10 readiness.
Why This Topic Matters
Revenue leakage can occur at multiple points in the front office and billing workflow. The article highlights common operational gaps that can affect reimbursement, claim accuracy, and collections in Medicare Part B and related practice settings.
Article Sections
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Introduction
The article introduces the idea of coordinating front-office and back-office workflows to protect practice revenue and minimize missed reimbursement.
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Tips for improving billing, collections, and claim accuracy
A series of operational tips covers patient payment expectations, insurance verification, charge reconciliation, staff training, claims related to nursing and physician services, and preparation for coding changes.
What You Will Learn
- How front-desk communication can affect collections and patient responsibility processing.
- What general Medicare Part B and SNF-related billing situations may require closer attention.
- How practices can reduce missed charges by comparing internal logs with posted charges.
- Which workflow areas are commonly involved in component billing, locum tenens claims, copay collection, and patient payment follow-up.
- Why diagnosis coding readiness is important for maintaining claim acceptance.
Who Should Read This
- Medical practice administrators
- Billing staff
- Medical coders
- Front-desk personnel
- Revenue cycle staff
Codes Discussed
Modifiers Discussed
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