Revenue Booster: Keep Money Flowing With These 6 Income Opportunities

Why This Topic Matters

Revenue can be lost when documentation, payer status, supply billing, credentialing, or denial follow-up is incomplete or delayed. Understanding these operational risk areas helps practices maintain compliant reimbursement and reduce avoidable payment gaps.

Article Sections

1. Update Your ICD-9 codes

   Discusses annual diagnosis-code updates and the role of diagnoses in supporting claim payment. It frames the topic in the context of Medicare reimbursement and claim preparation.

2. Ensure That Your Nurse's Notes Are Ironclad

   Covers documentation responsibilities for E/M services and the use of nurse or ancillary staff notes. It references guidance from Medicare contractors and focuses on documentation review and support.

3. Stay on top of SNF patient status

   Addresses billing issues that can arise when a patient has skilled nursing facility status and services are rendered outside the facility. The section focuses on Medicare billing separation and component-based claims handling.

4. Bill your supplies, when reimbursable

   Explains broad supply-billing considerations and when supply-related items may be separately payable. It includes Medicare supply coding in the context of casting and splinting applications.

5. Don't wait to get your new physician credentialed

   Reviews timing issues related to enrolling a new practitioner and the effect on Medicare billing eligibility. The section discusses filing timelines and retroactive billing windows.

6. Follow Up on Unpaid and Denied Claim

   Focuses on denial management, payment review, and appeal follow-up as part of revenue cycle oversight. It emphasizes using remittance information to identify missed reimbursement opportunities.