Part B Revenue Booster: Maximize Your Income With These 7 Tips

Why This Topic Matters

Understanding these billing and collections topics can help practices reduce missed reimbursement and avoid preventable claim problems. The article is useful for teams responsible for Medicare Part B claims, payer follow-up, and front-end revenue capture.

Article Sections

1. Stay on top of SNF patient status

   Discusses billing considerations tied to skilled nursing facility patient status and Medicare Part B non-covered stays. The section focuses on how that status affects where claims are directed and the role of component-based reporting.

2. Don’t blindly accept sequester cuts on Advantage claims

   Covers Medicare Advantage payment adjustments in relation to sequestration and contracted versus non-contracted providers. The section emphasizes reviewing payer agreements and claim reductions.

3. Bill your supplies, when reimbursable

   Reviews general supply billing concepts under Medicare and identifies that some items may be separately reportable depending on the service context. It also notes casting and splinting supply-related HCPCS coding.

4. Cross-Reference Your Practice Log Against A Charge Sheet

   Explains using practice logs and charge sheets to identify missed charges and strengthen internal billing controls. The section centers on reconciliation and staff education.

5. Properly Train Front Desk to Collect Financial Information

   Focuses on front-end revenue capture, including insurance verification, patient identification, and collecting financial information at the time of service. It also addresses workflows for motor-vehicle and workers’ compensation cases.

6. Differentiate PC/TC Components

   Covers professional and technical component reporting for diagnostic services and when component-based modifiers may apply. The section uses a hospital-based EEG scenario to illustrate the topic at a general level.

7. Code Locum Tenens Accurately

   Discusses reporting arrangements for substitute physicians and reciprocal billing situations. The section distinguishes between different billing relationships and the associated claim reporting approach.