Revenue Booster: Are Your Overlooking These 5 Opportunities To Collect Reimbursement?

Why This Topic Matters

The article addresses common operational and coding issues that can delay or reduce payment in a medical practice. Understanding the topics it covers can help readers determine whether the full article is relevant to revenue integrity, coding compliance, and reimbursement workflow improvement.

Article Sections

1. Not Collecting Coinsurance and Copays

   Discusses patient financial responsibility collection before or at the time of service and the general impact on practice cash flow.

2. Waiting Too Long to Collect

   Covers follow-up timing for patient balances, statement cycles, and general collection workflow considerations.

3. Consistently Undercoding

   Addresses underreporting of services, compliance concerns, and the revenue impact of reporting lower-level services than documentation supports.

4. Failing to Append Modifiers

   Reviews modifier-related reimbursement issues in the context of bundled services and linked diagnosis coding, with reference to CPT and ICD-9-CM.

5. Failing to Bill A Sick Visit With an AWV When Indicated

   Covers annual wellness visit billing overlap, E/M service reporting, and documentation considerations related to separate service reporting.