Part B Revenue Booster: Boost This Year's Cash Flow with These Expert Pointers

Why This Topic Matters

It highlights common administrative and reimbursement issues that can affect cash flow in physician practices, especially when payer contracts, eligibility, authorizations, and denial follow-up are not monitored closely.

Article Sections

1. Ensure You’re Getting Contracted Amounts

   Discusses reviewing payer contract payments against expected fee schedules and checking credentialing across practice locations. It also addresses identifying discrepancies in reimbursement processes.

2. Pre-Check Eligibility

   Covers eligibility verification before visits, use of benefit information, and communicating financial expectations to patients. It also notes the need to stay aware of authorization requirements tied to payer programs.

3. Don’t Let Denials Rise Too High

   Focuses on monitoring first-pass denial rates, following up on denied claims, and using patient billing calls as an opportunity to resolve balances. It emphasizes general collection and workflow discipline.