Reimbursement: Offset Sequestration Cuts With 5 Expert Tips

Why This Topic Matters

The piece addresses a payerwide reduction that can affect cash flow and highlights operational areas where practices may be losing revenue or creating avoidable claim problems. It is relevant to organizations looking to understand the general reimbursement impact and the administrative topics covered in the article.

Article Sections

1. Sequestration impact and payment adjustment context

   Introduces the Medicare payment reduction discussed in the article and describes the general effect on reimbursement and claims processing. It also references a Medicare payer source used to explain the payment impact.

2. Consider a no-show fee

   Discusses missed-appointment revenue loss and the practice-management considerations involved in having a no-show policy. It also touches on patient notification and reminder workflows.

3. Realize your mid-level provider’s potential to boost productivity

   Covers how physician assistants and nurse practitioners may affect practice productivity and revenue. The section frames staffing and visit-volume considerations in a general financial context.

4. If it’s in your log, it should be in your charge sheet

   Explains the general idea of comparing device or system logs with posted charges to look for missing revenue. The discussion is framed around charge capture and internal reconciliation processes.

5. Avoid resubmitting claims

   Reviews common administrative issues that can contribute to claim rework and denials, including claim data accuracy, remittance review, and compliance with claim-edit screening. It also mentions use of modifiers in a general denial-management context.

6. Ensure that your front desk is on the front lines of capturing reimbursement

   Focuses on front-office intake and documentation practices that support reimbursement. The section addresses insurance verification, patient identification, and upfront collection workflows.