Part B Revenue Booster: This One Tip Can Boost Your Practice's Income by Thousands

Why This Topic Matters

Revenue leakage can occur when payments do not match contracted amounts, when eligibility or authorization issues are missed, or when denials are not managed promptly. The article highlights why routine verification and follow-up steps matter to practice financial performance.

Article Sections

1. Revenue cycle performance and 2016 billing priorities

   Introduces the article’s focus on improving medical practice collections and reducing billing-related financial loss. Sets up a series of operational topics affecting cash flow and payer reimbursement.

2. Ensure you’re getting contracted amounts

   Discusses reviewing payer contracts, comparing paid amounts to fee schedules, and monitoring credentialing across practice locations. Also references insurer website checks and reimbursement reconciliation practices.

3. Pre-check eligibility

   Covers front-end verification steps such as eligibility review, benefit information, patient financial expectations, and communication of office payment policies. Also addresses the need to stay aware of authorization requirements.

4. Don’t let denials rise too high

   Addresses claim denial monitoring, follow-up workload, and patient billing conversations as opportunities to collect outstanding balances. Emphasizes maintaining denial rates at manageable levels and avoiding avoidable billing friction.