tci Medicare Compliance & Reimbursement - 2012 Issue 5
Billing: 3 Steps Can Correct Your Cash Flow Woes
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Article Overview
This article covers practice billing and revenue-cycle strategies aimed at improving cash flow. It discusses handling missed appointments, monitoring claims and denials, and understanding Medicare incident-to requirements for non-physician practitioner services. The piece is intended for medical billers, coders, practice managers, and compliance-focused staff who want to reduce avoidable revenue leakage and improve claim performance.
Why This Topic Matters
The article addresses common billing workflow issues that can affect reimbursement, denial management, and compliance. It is relevant to practices that bill Medicare and use non-physician practitioners, because it highlights operational areas that can influence both cash flow and audit risk.
Article Sections
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Start Penalizing Those No-Shows
Discusses missed appointment policies and related billing workflow considerations, including general Medicare-related handling of no-show fees.
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Monitor Each Claim You Send Out, Then Follow Up
Covers claim tracking, rejection and denial follow-up, review of remittance information, and use of payer communications to support revenue recovery.
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Want to Collect 15 Percent More for NPP Claims? Ensure You Follow Incident-To Rules
Reviews Medicare incident-to billing concepts for non-physician practitioner services, including supervision, place of service, scope of practice, and compliance oversight.
What You Will Learn
- How billing workflow issues can affect practice cash flow
- How missed appointment policies can be incorporated into office procedures
- How to monitor claims, denials, and payer responses more effectively
- What general factors are involved in Medicare incident-to billing compliance
- Why non-physician practitioner billing requires attention to state scope-of-practice rules and supervision requirements
Who Should Read This
- Medical billers
- Coders
- Practice managers
- Revenue cycle staff
- Compliance staff
- Physician office administrators
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