Reimbursement: Augment Medicare Pay With 10 Revenue- Boosting Tips

Why This Topic Matters

Revenue pressure, changing telehealth rules, and shifting patient volumes can affect practice income. Understanding the article’s scope helps readers decide whether they need its general reimbursement guidance, operational tips, and coding-related discussion.

Article Sections

1. Don't Overlook 99072

   Discusses a COVID-era reimbursement topic tied to in-person service delivery and payer variability. The section frames the code within broader practice expense considerations and policy differences.

2. Maximize Telehealth When Possible

   Covers telehealth strategy during and after the public health emergency, including compliance concerns and the evolving reimbursement environment. It also references federal agency guidance related to the emergency period.

3. Review Your Managed Care Contracts

   Addresses review and potential renegotiation of payer contracts as part of revenue improvement efforts. The section focuses on workflow for evaluating rates and timing for contract updates.

4. Double Check A/R, Fee Schedules

   Looks at accounts receivable monitoring, fee schedule updates, and collection practices. The section emphasizes internal review of outstanding balances and pricing alignment.

5. Perform Internal Audits

   Explains the value of internal auditing for finding missed or incomplete billing within a practice. The section places auditing in the context of routine revenue integrity.

6. Follow Up on Denials

   Focuses on denial management and investigating why claims are not paid as expected. The section stresses monitoring reimbursement patterns and payer responses.

7. Collect at the Time of Service

   Discusses patient collections at the point of service and related cash-flow considerations. It also mentions deductible timing and front-office collection processes.

8. Find the Most Accurate ICD-10 Code

   Addresses diagnosis coding at a high level, including the importance of specificity and use of symptom coding when a definitive diagnosis is not yet available. The section is framed as a reimbursement and documentation topic.

9. Determine Whether a Time Study Would Benefit Your Practice

   Covers workflow analysis and scheduling assessment to improve patient throughput and staffing efficiency. The section discusses how operational constraints can affect practice timing.

10. Encourage Staff to Work Together

    Concludes with the importance of team alignment when implementing reimbursement or workflow improvements. The section emphasizes practice-wide commitment and coordination.