Outpatient Facility Coding Alert - 2011 Issue 37
Part B Revenue Booster: 4 Steps Keep Your Practice's Reimbursement Flowing
Subscribe or sign in to view the full article.
Article Overview
This article reviews operational strategies for outpatient practices that want to improve revenue flow from Medicare and other payers. It focuses on front desk intake, claim processing, charge reconciliation, handling denials and resubmissions, and better use of physician assistants and nurse practitioners in practice workflow. The content is aimed at billing staff, practice managers, and coders who want a broad overview of reimbursement-related process improvements.
Why This Topic Matters
Revenue leakage can occur at multiple points in a practice, from patient registration to claim submission and charge capture. This article highlights process areas that affect reimbursement performance and helps readers identify whether the full piece is relevant to their billing, front-office, or practice-management responsibilities.
Article Sections
-
Realize Your Mid-level Provider's Potential to Boost Productivity
Discusses how physician assistants and nurse practitioners can be integrated into practice workflow to support productivity and access. The section frames the business reasons practices may consider adding these clinicians.
-
If It's In Your Log, It Should Be In Your Charge Sheet
Covers the importance of comparing system logs with posted charges to identify possible missed revenue. The section centers on charge capture and internal review processes.
-
Avoid Resubmitting Claims
Reviews common administrative issues that can lead to claim rework, denials, or delays. The section addresses claim accuracy, remittance follow-up, and awareness of claim-edit processes.
-
Ensure That Your Front Desk is On the Front Lines of Capturing Reimbursement
Focuses on patient intake and registration procedures that support reimbursement. The section emphasizes insurance verification, documentation collection, and coordination between front office and back office workflows.
What You Will Learn
- How practice workflow can affect reimbursement collection
- Why charge capture reconciliation matters
- Which front-desk processes influence claim accuracy
- How administrative claim issues can lead to rework or delays
- How mid-level providers can factor into practice operations
Who Should Read This
- Medical billers
- Coding professionals
- Practice managers
- Front desk staff
- Revenue cycle personnel
Codes Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com