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It’s no secret that physician practices are challenged more than ever to get paid in full for the services they render. Deductibles keep getting higher – and more patients are facing them. What’s more, new research from the Kaiser Family Foundation shows that only about half of insured American families have sufficient resources available to […]

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The portion of your revenue that must come from patient collections has skyrocketed.  If you haven’t mastered patient collections, you risk losing more of your practice’s earned revenue than ever before.  But — on the plus side — there are more new ways to tackle this problem than ever before. I’ve got a new, free […]

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Paraphrased from my Management Rx blog: The New York Times reports that the federal government hopes to fix a problem that many citizens complain about: inaccurate health plan directories.  When health plan directories are incorrect, patients can wind up unintentionally receiving services out-of-network, which usually leads to unexpected, significant out-of-pocket costs. The administration is naturally concerned about […]

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The portion of your revenue that must come from patient collections has dramatically increased over the past decade. And higher copays and deductibles aren’t going away – in fact, they’re becoming the standard. A recent Kaiser Family Foundation study determined that average deductibles for patients on employer-sponsored plans have more than doubled, and now average […]

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Many physicians we work with face the tough decision of whether to keep their practices independent or join a larger organization.  Oftentimes, physicians and practice managers believe they must consider such a move to “gain a larger footprint” for negotiations with payers. The advantages of larger groups in payer contract negotiations versus small and solo […]

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In our work helping medical practices improve their profitability and efficiency, it’s not uncommon to find that employee morale, performance, and turnover are problems.  Those problems, in turn, often stem from the relationships between staff and their leaders — and staff perceptions about how physician owners and practice administrators regard them. Sometimes, there’s a bit […]

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Please join Joe Capko and me as we present “Finding the ROI in Your EHR,” a free webinar hosted by Kareo. Joe and I will be discussing many different ways your EHR can help your practice become more profitable and serve your patients better. We hope you’ll take part on Thursday, February 19 (10AM Pacific/1PM […]

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As we’ve posted here before, almost all practices face the risk of a cash flow crunch in January and, really, through all of Q1, thanks to the deductible reset.  (January’s revenue collections are sometimes also hit lower volume in December because of the holidays — a double whammy.) In our experience, the decline in revenue […]

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If you’ve visited here before, you might have seen some of my posts about the challenges physicians face in managing their practices.  In most medical practices, the physician-owners are also very busy health care providers whose business management time is quite constrained.  This makes it that much more difficult to know what’s really happening on […]

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The iPhone, Android or other cell phone you depend on for everything – besides texts and calls your phone is likely keeping you busy with games; productive with email, to-do lists and calendars; in touch with Facebook, LinkedIn and Twitter; and convenienced with applications as straightforward as a simple flashlight. But how much do you […]

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The deductible reset is looming in January, and it’s poised to wreak its usual havoc with cash flow. Cash-flow impact could easily be even worse this year, given that deductibles have likely increased and become more of a problem for many of your patients. Naturally, alerting patients to the possibility that they will be responsible […]

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If you’ve found that your practice can’t sustain profitability at your providers’ current level of productivity, you may be thinking that it’s time to ask your physicians and mid-levels to start seeing more patients per day.  But have you evaluated whether your patient workflow actually has extra capacity?  Sometimes, your providers may have already maxed […]

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Themes seem to emerge each season in our medical practice management consulting business; in 2014, one of the most striking has been the connection between physician productivity and physician compensation.  It’s an issue we’ve seen play out in nearly all our engagements, in both start-ups and established practices, in both private practices and hospital-owned groups. […]

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A key factor in the patient-centered movement gaining traction is the Affordable Care Act and its intention to improve population health and reduce healthcare costs in the United States. This is expected to be accomplished through improved patient satisfaction, coordination of care and better clinical outcomes. The Patient-Centered Medical Home (PCMH) is viewed as a […]

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Even this late in the year — when we typically assume many patients will have met their deductibles — we are hearing from practices that some patients seem to be delaying or avoiding care because of concerns about costs.  This is not limited to the ACA plans, which tend to have high deductibles, especially on […]

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Hospitals are acquiring or partnering with medical practices at break-neck speed and for good reason. It makes sense to align with physicians in a changing marketplace. It will strengthen the hospital’s position for both bargaining power and marketing their brand.   Physicians on the other hand, fear the unknown and are often uncertain about the strategies […]

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It’s not too soon to think about the holidays and how you are going to honor staff for everything they’ve done to get you through the year. Will it be the typical holiday party and a gift exchange or do you plan on giving Christmas bonuses – which can be troublesome? I say this because […]

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Physicians and practice managers love using online tools to help run their practices. Whether you’re submitting payroll, doing some online banking, reconciling a credit card statement or confirming patient eligibility you’re using a connected network of devices, any of which could pose a serious threat to the well-being of your practice. While I’ve blogged here […]

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Interested in learning how to get more from your relationship with your third party biller?  Or considering hiring a medical billing service? “Get the Best From Your Medical Billing Service” is Laurie Morgan’s most popular ebook — and Amazon is offering it for free on October 29. Although the book is optimized for the Kindle platform, […]

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Health Affairs has a nice analysis of the ACA’s 90-day grace period on cancellation of enrollment for subsidized patients who miss premium payments.  But one piece of the puzzle that their article doesn’t touch on is the perverse incentive for health plans not to vigorously pursue those missed premiums. Under the grace period, plans are […]

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If you missed Laurie’s webinar, “Front Desk Collections: the New Linchpin of Profitability” (sponsored by Wellero) — one of her most popular webinars ever! — you’re still in luck.  Sign up here and watch it whenever you like. This practical presentation hits on some ways you can immediately increase profitability while avoiding pitfalls that can […]

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If you missed Laurie’s webinar, “Front Desk Collections: the New Linchpin of Profitability” last month, you can now view the recording online (free).  Here’s a link to the sign-up page: https://www.capko.com/miss-front-desk-collections-new-linchpin-profitability-watch/ Enjoy!  

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Most medical practices aim to establish scheduling parameters based on perceived capacity and the appointment time needs or constraints of the physicians and providers that see the patients. But there’s so much more to maintaining an ideal schedule that meets demands of patients, offers smooth workflow for physicians, and ensures the physicians achieve ideal productivity […]

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