Reimbursement: Augment Medicare Pay With 10 Revenue- Boosting Tips

Why This Topic Matters

Revenue pressures from reduced visit volume and changing payment rules make it important for practices to understand general reimbursement opportunities, documentation considerations, and operational steps that can affect payment performance.

Article Sections

1. Don’t Overlook 99072

   Discusses a COVID-era office visit payment topic and related payer variability during the public health emergency.

2. Maximize Telehealth When Possible

   Covers telehealth expansion during the public health emergency, including compliance considerations and the shifting policy environment.

3. Review Your Managed Care Contracts

   Addresses contract review and potential renegotiation as part of revenue management for a practice.

4. Double Check A/R, Fee Schedules

   Focuses on receivables follow-up, patient collection processes, and keeping fee schedules current.

5. Perform Internal Audits

   Describes the role of internal auditing in finding missed or underreported services.

6. Follow Up on Denials

   Emphasizes tracking denied claims and understanding the reasons behind reimbursement shortfalls.

7. Collect at the Time of Service

   Covers front-end collection practices and the importance of collecting expected patient amounts at the visit.

8. Find the Most Accurate ICD-10 Code

   Highlights the importance of diagnosis specificity and using appropriate diagnosis coding when a definitive diagnosis is not yet available.

9. Determine Whether a Time Study Would Benefit Your Practice

   Discusses workflow analysis and scheduling efficiency using a time study approach.

10. Encourage Staff to Work Together

    Wraps up with the importance of team alignment when implementing reimbursement improvement efforts.