Proactive Steps for Revenue Cycle Management

The process of running your billing has everyone who deals with numbers in your office all bent out of shape. It’s understandable, but you’re probably operating without a trusted and helpful medical billing partner that’s helping you with your battles. There’s a lot to the billing process that can be complicated. And having to do it to end up on the receiving end of denial, it’s just not fair. We have a few ways that can alleviate your team: To start you should have our Gables Medical Billing team work on your practice’s claim submissions, follow-ups, appeals, and payment posting, freeing your team to work with your patients and give their treatment the highest level of service and discretion that is merited by your patients and team. You should establish with your patients their financial responsibility. This means that they will know and understand what the co-pay they will be paying is and that the payment is expected at the time of the appointment. You’ll also want to confirm that you have completely up-to-date information, like their name, address, and contact information. If you confirm that you can leave messages on the phone number, ensure that this is something that applies to all phone numbers they provide. If you have new information eliminate the information that is outdated. Also, confirm that their insurance information is current and valid. It is best to make a copy of their insurance card and one of their license or identification. The patient has their appointment and the real fun and work begin. This is our favorite part, to be honest. The treatments and diagnoses are coded, and ready to send to the insurer. At this point, our team’s work kicks in if you have GMB covering your “payer relations”.

Fun fact: 80% of all medical bills contain errors. Yeah, that’s a lot of them. Actually, that’s most of them. This is awful because this means you’re constantly having to go back to square one. Repeatedly. If there’s even the tiniest detail wrong, the claim is denied. Payers are extremely particular. EXTREMELY. This means that you will need to start back at square one when the claim is denied. Yes, this also means that receiving payment will take even longer. If you’re working with our team we review the claim, prior to submission, which usually leads to payments in a more timely manner. Also, since we have experience billing diverse payers for varied and diverse specialties, we’ve seen every trick in the book. This means that we’ve definitely seen some interesting things. This also means that we’ve had to work with every payer on a myriad of denial reasons and denial types. That makes our team especially skilled to work on your practice’s claims, drop Gables Medical Billing a line if you’d like to sample our service offerings.