Online Resources


eg: UK or Brides UK or Classical Art or Buy Music or Spirituality

Business & Money

Technology

Women

Health

Education

Family

Travel

Cars

Entertainment

Call Me In The Morning

View:

It has been accurately stated that you cannot manage what you do not measure. This is particularly true in the arena of medical billing denials. Without a strong Revenue Cycle Denial Management system in place you cannot properly manage this critical element of medical billing. If you are not managing your denials then you are most likely leaving more than 20% of your revenues uncollected.

Revenue Cycle Denial Management has become a universal and often abused term in medical billing. Some individuals use the term to describe a means of addressing claims denied for medical necessity. Others use the term to describe how some information is tracked for a specific payer, set of procedures or a place of service. Still others try to use it to describe what they do daily in the physician's office.

A good start to finding out if your practice is suffering from improper denial management is to find out from your medical billing service (or in-house medical billing manager) how they manage denials and how they measure success in this area.

It is amazing how few medical billers or medical billing companies understand how proper denial management will dramatically increase the revenue of a practice. They understand the value of working denials, but this is not the only secret to good denial management. Working denials is like bailing water from a leaking ship - it can help keep the ship afloat, but ultimately you really need to fix the leak.

Achieving powerful results from denial management requires data, data and more data. Your denial management system must report and measure all claims that are being denied by your payers. With this level of data your medical billing specialists can fix the issues that are leading to the denials (whether it be issues with the claims or issues with the payers) and stop the torrent of unpaid claims into your medical billing process. Once you do this, then revenues for your practice will increase; probably by 10 to 20 percent.

Three elements are typically missing from a practice or medical billing company's denial management process: data, filtering/sorting methodologies and feedback to systematically correct errors. Most practice management systems do not properly track denials - at least not in the form in which they are typically used (i.e., they may have the capability, but only if properly implemented and used). Those PMs that do track denials typically overwhelm the practice with data that is difficult to utilize for high level denial management. Finally, even if the data is captured and can be properly utilized, most billing groups do not have a systematic way to get the information back into the billing process in a manner that prevents the denials from occurring again in the future.

Your denial management system must 1) Track all denials by payer; 2) Report on the reason for the denials and the number of claims denied for each reason; and 3) Allow for in depth analysis and comparison across payers to identify important trends. Once these capabilities are in place, the medical billing specialists can create targeted process changes and claim edits/rules that will fix systemic billing issues and increase collections.

The in depth analysis described above also allows payers that are habitual violators of Clean Claim Rules to be identified and pursued. The data and analysis will allow many opportunities for process improvements and revenue enhancement for the practice.

As previously mentioned, an effective denial management system is critical for your practice if you want to improve your medical billing and hasten your collections. Implementation of the proper system can easily increase collections by more than 10% and could even exceed a 20% increase in collections.

Copyright 2008 by Carl Mays II

Call Me In The Morning

Around the world mankind uses literally thousands of languages and dialects. All of them express our deepest thoughts and most private feelings.

Language also records our histories and tells our stories. It doesn't matter whether we are using the written or spoken forms of our languages, we cherish them.

Language is powerful. It expresses our opinions, and some of us will argue to the bitter end just to have the last word of it. Everyone knows the last word is always the most important one.

Nothing like a word can cut us to the quick or impassion us with emotions we didn't know we could feel.

Language is personal, intimate, and much more. It defines us individually. Our use of spoken words is a huge part of our personal, national and cultural identity.

Language is our soul, the very essence of our being. Our accent and use of words identifies us with certain geographic areas. It makes us part of a group.

Just as we have different fingerprints, our voice prints are different too. When one becomes accustomed to hearing the beautiful lilt of a sweet, southern drawl, there's nothing else like it in the linguistic world. Itss simply the type of language and sound that makes us feel comfortable and "at home".

The sounds of our own voices are ingrained in every fiber of our beings. One of my adult students once said that when he began to speak Spanish it not only felt funny but it sounded funny too. He said it was like hearing a cartoon duck's voice coming out of his mouth instead of his own!

From the moment we wake up each morning until we fall asleep, most of us are talking. We simply don't think about the amazing neurological process that is involved in making every sound we utter. We simply open our mouths, and words pour out.

For most of us, the ability to use the English language is one that we take for granted. But, have you ever thought about just how important language is to you?

What would you do if you woke up tomorrow in another country where your native language wasn't the one you heard, understood or needed to speak? Could you develop a communications strategy that would allow you to not only survive-- but to thrive?

Today this complicated issue faces many of our citizens. Thousands are learning Spanish, while thousands more are struggling to learn English. Somewhere we will meet in the linguistic middle.

Learning another language in adulthood is outrageously difficult. All the linguistic cards are stacked against us.

Acquiring a new language takes dedication, desire, and practice; however, we are impatient and we want to acquire fluency with ease. We want to learn to speak another language at the speed of a Porsche cruising down a superhighway.

In actuality, the process of learning another language in adulthood is more like riding in a Model T bouncing down an unpaved road. Your journey probably won't be smooth, and you can expect some starting and stopping along the way to achieving proficiency.

Many professionals I work with experience these painful bumps in the linguistic road. One of my great joys is hearing their success stories, and one of my greatest challenges is motivating them to continue their journey when they have a Spanish language fender-bender. So, I was surprised a few days ago when a doctor who had participated in one of my seminars called to invite me to lunch with his family.

"There's something I want to share with you," Dr. Taylor said.

Over lunch he explained his personal goals for learning Spanish to me. "Reaching out to my Spanish-speaking patients so they understand their illnesses and their treatments is constantly on my mind," he said. Then he continued, "I want to find out as much as I can about their lives and their families. This helps me treat the whole person and not just the parts."

At the end of our lunch together Dr. Taylor told me that he had come to realize something about the art of practicing medicine and the art of communication.

"No matter how hard we try," he said, "both are imperfect sciences. You told us it was more important to communicate and not to worry about our grammar mistakes. So, I don't worry about it now. I just get out there and do my best. My patients seem to appreciate that."

"Well, doc," I said, "I couldn't be happier to hear of your progress. It looks like you are going to make a full linguistic recovery.

"Take two verbs and call me in the morning!"

Related Articles
Author
Most Popular

•	Breakfast In The Morning, by Steve Nicolle
•	Call Anywhere In The World, by Viviaent Fechner
•	Call Center In The Philippines, by James Stinson
•	Call Centers In The Philippines, by James Stinson
•	Call Me In The Morning, by Carl Mays Ii

About Author

Both Carl Mays Ii & Myelita Melton are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

Carl Mays Ii has sinced written about articles on various topics from Cardio Training, Health and Finances. Carl Mays is President & CEO of ClaimCare , a medical billing company with clients throughout the United States. Carl has been assisting clients wit. Carl Mays Ii's top article generates over 12100 views. to your Favourites.

Myelita Melton has sinced written about articles on various topics from Language, Learn Spanish. Myelita Melton is the author of the SpeakEasy Spanish TM series. She is a nationally recognized expert on language and cultural diversity. Her high energy. Myelita Melton's top article generates over 8100 views. to your Favourites.

Book Of Secret Arts
All you have to do is continue your meditation practice, while putting the concepts of non-harming, compassion, patience, mindfulness, tolerance, and happiness into practice during your daily life.