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A Team Approach To Medical Billing
Practice efficiency and productivity is more than just the number of patients seen or the dollars of gross revenue generated. Medical billing and medical coding services are an extension of the provider and all of these must work together as a team.
The medical billing services for the practice must be connected with the physician, coders, transcription service, and maintain access with the medical record documentation. Practice administrators need to make sure all the links are connected to maximize communication between all parties concerning medical billing.
The communication loop should assure that Explanation of benefits (EOB’s) are shared with the billers and coders for feedback and medical billing corrections if applicable. Too often the office procedures are set up in a manner that the staff or medical billing office preparing and sending the claims do not receive the feedback from the EOB’s.
The front desk of a practice should collect copays at the time of service. That means the staff need to communicate to the patient when making their appointment that copays are expected to be paid at the time of service.
Then when the patient arrives for the appointment staff should ask if they are paying their copay by cash, check or credit card. Front desk staff should not ask the patient if they want to pay their copay as it is expected they will pay their copay.
Perhaps it is time for your practice to review front desk, coding, medical billing, and posting procedures to make sure the entire team is communicating and working together to maximize reimbursement.
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About the Author:
PGM Medical Billing Services:
At PGM, we believe physicians should focus on practicing medicine, not submitting claims and collecting payments. As insurance carriers and HIPAA requirements change, physicians are dedicating more and more of their time and resources to administrative tasks and red tape. By effectively managing this time-consuming work, PGM gives time back to physicians allowing them to do what they do best.
Our specialized medical billing service is focused on maximizing medical provider reimbursement. For the past 30 years, PGM’s medical billing service has been helping physicians not only get paid more, but get paid faster. Our complete practice management solution includes claim submission and follow-up, payment posting, advanced claim scrubbing to minimize denials, and much more.
PGM medical billing services will maximize your collections, reduce your time to payment and help you lower and better manage your expenses, all dramatically improving your bottom line.
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